Community Care Coordinator (45326)

Neighborhood Health Plan of Rhode Island; Smithfield (RI); On-site; USD 52,000 - 78,000; Full time

Job summary

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 medical teams, members, families, and social service agencies to ensure quality and cost-effective patient-centered care.

The role involves outreach, initial screenings, referrals, and documentation, with potential off-site visits and travel as needed.

Qualifications

• Associates Degree in human service related field preferred or equivalent years of background and experience to equal degree.
• Three to five years experience in medical or social services setting or minimum of six months experience at Neighborhood Health Plan of Rhode Island.
• Experience with behavioral health and/or long-term care needs is preferred.

Responsibilities

• Under the direction of a Medical Case Manager, performs ongoing care coordination activities including outreach, initial health screening, and referrals.
• Provide information to members/families regarding social and community support services.
• Assist with calls to social service agencies and coordinate services.
• Conduct off-site visits to members at home, hospital, or community health centers as needed.
• Maintain comprehensive documentation of activities in CMAQE or approved systems.
• Collaborate with Medical and Integrated Care Managers to coordinate community resources.

Skills

Oral communication

Written communication

Customer service

Interpersonal skills

Organizational skills

Problem solving

Independence

Collaboration

Time management

Record keeping

Flexibility

Education

Associates Degree in human services

Job description

Community Care Coordinator (45326)# Community Care Coordinator (45326)Smithfield, RI - Smithfield, RI 02917## OverviewPosition TypeFull TimeJob ShiftDaytimeEducation LevelAssociates DegreeTravel PercentageOccasionalCategorySome Experience## DescriptionThe 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 Responsibilities** Responsibilities include, but are not limited to, the following:* Under the direction of a Medical Case Manager, performs ongoing care coordination activities. This includes: 1. Conducting outreach 2. Completing HRA and initial health screening 3. Providing telephonic initial screen of non-medical needs, coordinates services and makes appropriate referrals 4. Providing information to members/clients and/or their families regarding social and community support 5. Assist with calls to various social service agencies as appropriate 6. Off site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required 7. Supporting members to obtain access to care and services and making appointments 8. Aid in obtaining medically necessary DME 9. Directing members/clients to internal departments as appropriate 10. Managing a case load of identified and/or assigned members 11. Providing comprehensive documentation of all activities and contacts in CMAQE or appropriate software system* Assist Medical and/or Integrated Care Managers in coordinating community resources as appropriate* Participate in the development and maintenance of community resource database* Calculate cost savings that may result from interventions, where an alternative level of care, service or resource has been identified and/or arranged* Responsible for, identify, and, pursue opportunities for professional development* Recommend and participate in the development of program improvements and QI activities* Serve as resource to respond to questions from ancillary departments within Neighborhood* Participate in community events and projects as assigned* Provide cross coverage as assigned by Lead and/or Manager* Participate in Outreach/Marketing activities as needed and appropriate* Maintain up-to-date knowledge of resources in Rhode Island* Other duties as assigned* Corporate 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 agents## Qualifications**Qualifications**Required:* Associates Degree in human service related field preferred or equivalent years of background and experience to equal degree* Three (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 Island* Experience working with the needs of individuals with behavioral health and/or long term care needs* Strong oral and written communication skills* Strong customer service orientation* Strong interpersonal skills* Strong organizational skills* Ability to problem solve and work independently* Strong collaborative skills and teamwork values* Computer literacy with windows based programs* Sound judgment* Strong time management skills* Ability to keep accurate records and prepare reports* Ability to work with minimal supervision* Flexible schedule including evenings and weekends* Ability to travel for work, must have access to reliable transportation and/or valid drivers license and proof of insurancePreferred:* Clinical specialty experience* Knowledge of community social service resources, State agencies and the state Medicaid program* Knowledge of medical terminology* Knowledge/expertise in substance use and/or mental health* Bilingual*Neighborhood 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.*