Job Description

JOB SUMMARY

Care Coordinators coordinate the day-to-day implementation of contractual requirements within the state’s Medicaid guidelines. Duties include training, enrolling, reporting, auditing, and complying with contract deliverables as well as ensuring company best practices are followed and upheld. The Care Coordinator works with members on plan/budget development, submission, and revision.

JOB DUTIES

• Apply a person-centered approach to keep the client at the center of all program functions
• Coordinate the day-to-day implementation of contractual requirements within the state’s Medicaid guidelines
• Create care plans based on the clients’ needs, train clients on services provided, audit services, and report findings to the contracted entity
• Assist clients with plan/budget development, submissions, and revisions
• Provide continuous excellent service to clients, employees, and 3rd party organizations including MCOs
• Promote cohesiveness in the office environment
• Support day-to-day operations and client advocacy
• Collaborate with stakeholders regarding the delivery of services
• Comfortable with public speaking
• Communicate effectively
• Comply with applicable legal requirements, standards, policies, and procedures
• Conduct advanced reporting and oversight activities
• Demonstrate dependability
• Demonstrate effective problem solving and decision-making skills
• Exhibit computer efficiency
• Handle complex service programs and special projects
• Lead, supervise and complete special projects including, but not limited to: developing and implementing care plans
• Maintain necessary skills and knowledge to coordinate workflow
• Market services to referral sources
• Participate in professional development and training activities
• Prioritize and multitask effectively
• Provide excellent customer service to internal and external clients
• Represent the company at stakeholder meetings, health fairs, and provider fairs
• Supervise deliverables and ensure timely completion of projects
• Enroll clients and employees in services, including the development of the service/support plan and budget
• Orient and educate clients on current program roles and responsibilities
• Train and assist clients in timecard submission
• Assist clients with eligibility requirements, as required by the program rules
• Conduct necessary client assessments and contacts
• Maintain timely and proper documentation in Customer Relationship Management (CRM) database
• Travel to and from Client homes or other destinations to meet with Clients (some overnight travel may be required within the state)
• Compile information for internal or external auditors
• Bilingual preferred
• Other duties as assigned

QUALIFICATIONS

• Bachelor’s degree in the field of Social Work, Psychology, Counseling, Rehabilitation, Nursing, Sociology or Related Field preferred
• 6 years’ experience serving individuals with disabilities preferred
• Must have reliable transportation. If the employee will be driving, a valid driver’s license and auto insurance is required.
• Combination of education and experience
• Ability to work flexible and/or extended hours, if needed, to meet the job requirements.

The incumbent typically works in an office environment and uses a computer, telephone and other office equipment as needed to perform duties. The noise level in the work environment is typical of that of an office. Incumbent may encounter frequent interruptions throughout the workday. The employee is regularly required to sit, talk, or hear; frequently required to use repetitive hand motion, handle or feel, and to stand, walk, reach, bend or lift up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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