Community Care Coordinator

Neighborhood Health Plan of Rhode Island; Smithfield (RI); Sur place; USD 52 000 - 68 000; Plein temps

Résumé du poste

Neighborhood Health Plan of Rhode Island is seeking a Community Care Coordinator to manage and coordinate care for members with social needs. You will work with the health care team, members, and external partners to ensure patient‑centered, cost‑effective care.

Responsibilities include outreach, care coordination under Medical Case Manager, assisting with referrals, documenting activities, and supporting development of community resources.

Qualifications

• Associates degree in human services or equivalent years of background/experience.
• 3–5 years in medical or social services; or at least 6 months in Neighborhood Health Plan of Rhode Island.
• Strong written and verbal communication skills; customer‑service orientation.

Responsabilités

• Outreach to members and conduct initial health/social needs screening.
• Perform HRA and initial health screening.
• Provide telephonic screening of non‑medical needs and coordinate referrals.

Connaissances

Communication skills

Customer service orientation

Interpersonal skills

Organizational skills

Problem solving

Teamwork

Time management

Travel flexibility

Formation

Associate degree in human services

Outils

Windows

Description du poste

The Community Care Coordinator (CCC) works collaboratively with the health care team to manage and coordinate care for members that have social needs in order to ensure quality and cost-effective patient-centered care. This position also works directly with members/clients as well as with staff, managers, internal and external customers.Duties and ResponsibilitiesResponsibilities include, but are not limited to, the following:Under the direction of a Medical Case Manager, performs ongoing care coordination activities. This includes:Conducting outreachCompleting HRA and initial health screeningProviding telephonic initial screen of non-medical needs, coordinates services and makes appropriate referralsProviding information to members/clients and/or their families regarding social and community supportAssist with calls to various social service agencies as appropriateOff site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or requiredSupporting members to obtain access to care and services and making appointmentsAid in obtaining medically necessary DMEDirecting members/clients to internal departments as appropriateManaging a case load of identified and/or assigned membersProviding comprehensive documentation of all activities and contacts in CMAQE or appropriate software systemAssist Medical and/or Integrated Care Managers in coordinating community resources as appropriateParticipate in the development and maintenance of community resource databaseCalculate cost savings that may result from interventions, where an alternative level of care, service or resource has been identified and/or arrangedResponsible for, identify, and, pursue opportunities for professional developmentRecommend and participate in the development of program improvements and QI activitiesServe as resource to respond to questions from ancillary departments within NeighborhoodParticipate in community events and projects as assignedProvide cross coverage as assigned by Lead and/or ManagerParticipate in Outreach/Marketing activities as needed and appropriateMaintain up-to-date knowledge of resources in Rhode IslandOther duties as assignedCorporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood’s Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agentsQualificationsRequired:Associates Degree in human service related field preferred or equivalent years of background and experience to equal degreeThree (3) to Five (5) years experience in medical or social services setting or minimum of six (6) months experience working in a position at Neighborhood Health Plan of Rhode IslandExperience working with the needs of individuals with behavioral health and/or long term care needsStrong oral and written communication skillsStrong customer service orientationStrong interpersonal skillsStrong organizational skillsAbility to problem solve and work independentlyStrong collaborative skills and teamwork valuesComputer literacy with windows based programsSound judgmentStrong time management skillsAbility to keep accurate records and prepare reportsAbility to work with minimal supervisionFlexible schedule including evenings and weekendsAbility to travel for work, must have access to reliable transportation and/or valid drivers license and proof of insurancePreferred:Clinical specialty experienceKnowledge of community social service resources, State agencies and the state Medicaid programKnowledge of medical terminologyKnowledge/expertise in substance use and/or mental healthBilingualNeighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.