Community Based Care Coordinator

Job Summary:

The Community Based Care Coordinator I – BH/SUD is the member concierge and is the single point of contact for assessment, person centered planning, service coordination (funded or unfunded), disease management, utilization management and transitions between all levels of care.

Essential Functions:

Understand and implement Person-Centered Thinking

Facilitate the Person-Centered planning process

Participate in person-centered care training in order to maximize the development of the Person-Centered 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 plans

Ongoing communication with the internal complex clinical team

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

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

Assist Providers with technical questions regarding process

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

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

Assist with internal 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

Precept and/or mentor new staff

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 shares with leadership to make it a standard, repeatable process

Perform any other job duties as requested

Education and Experience:

Bachelor’s degree in a healthcare related field is preferred

Must be considered a Qualified Behavioral Health Professional (QBHP)

A minimum of three (3) years of experience in the behavioral healthcare field (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

Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice

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

Trauma informed training

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.

Certified in Person-Centered Thinking is preferred

To help protect our employees, members, and the communities we serve from acquiring communicable diseases, full COVID-19 and Influenza vaccination is an essential 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 forty-five (45) days from their hire date to complete the required vaccination.

CareSource requires all employees to be fully vaccinated (two weeks removed from completion of a two-dose mRNA series or two weeks removed from a one dose vaccine) against the COVID-19 virus. Employees are required to disclose and provide proof of their vaccination status as a condition of continued employment. Candidates who accept an offer of employment must upload proof of vaccination prior to their start date. Failure to meet the vaccination requirement, including providing proof of vaccination prior to the start date, may result in rescission of an employment offer or termination of employment.

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 reviewed by the CareSource Health & Wellness team.

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:$45,600.00 - $73,000.00

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. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):Hourly

Organization Level Competencies

Create an Inclusive Environment

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, including disability and veteran status. We are committed to a diverse and inclusive work environment.

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