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CareSource · 3 weeks ago

Community Based Care Coordinator I - MUST RESIDE IN SEVIER COUNTY

United States

Full-time

Remote

Entry Level

1+ years exp

CareSource is a healthcare organization dedicated to providing quality care to its members. They are seeking a Community Based Care Coordinator I to serve as a member concierge, coordinating services and health benefits while facilitating person-centered planning and care. The role involves regular member interaction, collaboration with healthcare professionals, and ensuring compliance with care standards.

Health CareMedicalNon Profit

Comp. & Benefits

Responsibilities

Understand and implement person-Centered thinking

Facilitate the person-Centered planning process

Assist with in person-centered care training to maximize the development of the Person-Centered Service Plan

Coordinate services and health benefits for members who meet criteria

Consult with members, families and legally responsible people to discuss behavioral and physical health care needs

Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered Service Plans

Assist with ongoing communication with the internal complex clinical team

Assist with educating members about their condition, medication and assist with any necessary instruction

Monitor service delivery to ensure appropriateness of care and compliance with any waiver

Complete psychosocial health care questionnaires and behavioral assessments by gathering information from the member, family, provider and other stakeholders

Monitor and evaluate Person-Centered Service Plan on an ongoing basis through member, family, provider and stakeholder contact by modifying the plan as needed based on member choice

Assist with care coordination activities to support member outcomes

Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines

Participate in meetings with providers to inform them of services and benefits available to members

Engage members through participating in information collection and assertive outreach, including home visits and telephone calls

Assist in education of member/caregiver regarding healthcare access and benefits, and provide member/caregiver with health education and wellness materials

Regular travel to conduct member visits, provider visits and community-based visits as needed to ensure effective administration of the program

Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation

Look for ways to improve the process to make the members experience with CareSource easier and share with leadership to make it a standard, repeatable process

Perform any other job duties, as requested

Qualification

Care coordinationBehavioral health experiencePerson-centered planningMicrosoft OfficeHealthcare lawsCultural awarenessCommunication skillsOrganizational skillsProblem-solving skills

Required

High School Diploma or GED equivalent required

A minimum of one (1) year of experience working with developmentally or intellectually disabled or behavioral health clients (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel

Ability to communicate effectively with a diverse group of individuals

Ability to multi-task and work independently within a team environment

Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices

Strong advocate for members at all levels of care

Strong understanding and respect of all cultures and demographic diversity

Ability to interpret and implement current research findings

Awareness of community & state support resources

Critical listening and thinking skills

Decision making and problem-solving skills

Strong organizational and time management skills

Must have valid driver's license, vehicle and verifiable insurance