Maryland Physicians Care · 18 hours ago
Care Coordinator
Maryland Physicians Care is a prominent Medicaid-managed care organization in Maryland. They are seeking a Care Coordinator to provide short-term care coordination and connect program members with resources to improve their health and well-being through education and care services.
Insurance
Responsibilities
Provide administrative support to the members of the CM team
Collect data for Health Risk Assessments (HRA)
Screen for eligibility and benefits
Identify members without a PCP and refer to Member Services
Screen members by priority for CM services and refer as appropriate
Perform transition of care duties to include, but not limited to, contacting the members’ PCP, Medical POA, or other medical providers for information pertaining to special needs
Document all encounters and contacts made on behalf of clients; complete and submit monthly reports; maintain comprehensive electronic member records
Motivate members to be active and engaged participants in their health and overall well-being
Provide educational promotion, member follow-up, arrange PCP visits, and perform care coordination under the direction of the Care Manager
Assist members in assessing health-related services, including but not limited to obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care, and/or social services
Perform tasks as directed by the CM team to promote member compliance, such as verifying appointments or obtaining medical records
Facilitates member access to community resources, including, but not limited to, finding housing, food, clothing, prenatal classes, parenting, and providers to each life skill, and relevant mental health services
Work collaboratively and effectively within a team. Establishes positive, supportive relationships with participants and provides feedback to other members of the team. Builds and maintains positive working relationships with members, providers, nurse care managers, social workers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds
Qualification
Required
Strong interpersonal, communication, and customer service skills and the ability to work effectively with a wide range of constituencies in a diverse community
Knowledge of community agencies and resources
Knowledge of medical terminology
Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services
Knowledge of transportation and other barriers to care that members may face
High school diploma or equivalent
2+ years serving the Medicaid population, preferably in the MD/DC area
2+ years OB/GYN experience
Benefits
Medical, dental, and vision plans
100% employer Term Life Insurance
Short and Long-Term Disability
401k Employer Match up to 4%
20 days of PTO
Tuition assistance/professional development plans
Company
Maryland Physicians Care
Maryland Physicians Care (MPC) is a local managed care organization owned by Ascension Saint Agnes, Holy Cross Health, Meritus Health, and UPMC Western Maryland.