Community Based Care Coordinator I

Job description

Job Summary:

The Community Based Care Coordinator I – Arkansas with oversight from the care coordination team is the member concierge and is the single point of contact for assessment, person-centered planning, service coordination (funded or unfunded), disease management and transitions between all levels of care.

Essential Functions:

• 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

Education and Experience:

• 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.

Competencies, Knowledge and Skills:

• 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

Licensure and Certification:

• Must have valid driver’s license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance.  If the driver’s license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated. 
• Employment in this position is conditional pending successful clearance of a criminal background check.  Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment.
• Employment in this position is conditional pending successful clearance of a pre-employment drug screen, and annual drug screens thereafter.
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
• CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.

Working Conditions:

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential.  Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
• Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of time to perform work duties.
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
• Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.