Integrated Care Coordinator

HEALTH CONNECT AMERICA, INC•Raleigh, NC

About The Position

The Integrated Care Coordinator at Health Connect America oversees care planning, coordination, and monitoring for assigned clients, supporting behavioral and physical health goals. The role connects clients with providers and community resources, helps close gaps in care, and promotes overall well-being through hands-on, relationship-driven support. Work combines in-office responsibilities with community and client-focused engagement, including ongoing wellness support and crisis intervention as needed. The coordinator collaborates with treatment teams, integrated care staff, primary care providers, Nurse Practitioners, and community partners to ensure comprehensive, coordinated care that addresses immediate needs and long-term health goals. The position also supports clinic operations and program engagement through outreach and referral education. The coordinator ensures care coordination activities comply with Health Connect America policies, state regulations, and program standards. Timely documentation, adherence to required timelines, and proactive monitoring help maintain service quality and promote positive client outcomes.

Requirements

  • Meet North Carolina Qualified Professional requirements per 10A NCAC 27G .0104 through one of the following: a master's degree in a human services field and one year of experience; a bachelor's degree in a human services field and two years of experience; or a bachelor's degree in a non-human-services field and four years of experience.
  • Hold a current North Carolina license, including provisional licensure, or board-issued certification in a human services profession.
  • Required experience must be full-time and supervised, serving children and adolescents with a primary mental health diagnosis; experience may be accumulated before or after degree completion.
  • For care managers serving members with LTSS needs, have two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the cited requirements. This experience may be concurrent with the two years of experience working directly with individuals with behavioral health conditions, an I/DD, or a TBI.
  • Demonstrate organizational skills, clinical insight, and the ability to navigate complex care needs across multiple providers and settings.

Responsibilities

  • Conduct assessments and develop individualized, person-centered care plans based on client needs, health goals, and Social Determinants of Health.
  • Coordinate and monitor services across treatment teams, primary care providers, and community resources.
  • Facilitate follow-up services after hospitalizations, life transitions, or other critical events to support transitions of care.
  • Monitor client progress, track HEDIS gaps, and verify enrollment and payer status to support access to required services.
  • Provide health education, guidance, and crisis response support to clients and their families as needed.
  • Maintain timely, accurate documentation of care coordination, assessments, and interactions in accordance with regulatory and agency standards.
  • Support clinic-based operations, including scheduling, reminders, vitals, chart documentation, and collaboration with Nurse Practitioners for integrated care clients.
  • Participate in marketing initiatives, outreach to new referrals, and education of prospective clients to promote engagement and program enrollment.
  • Ensure care coordination activities comply with company policies, state regulations, and program standards.

Benefits

  • Flexible scheduling and a culture that values work/life balance
  • Employee Assistance Program, including eight mental health counseling sessions annually
  • Paid time off and paid holidays for full-time employees
  • Medical, dental, vision, and voluntary insurance options
  • Health Savings Account with company contribution
  • Dependent Daycare Flexible Spending Account
  • Access to a Health Navigator
  • 401(k) Retirement Plan
  • Benefits Hub and Tickets at Work offering exclusive savings and perks
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