Community Health Worker

Care Coordinator

This position requires working 2-3 days in person es Ascension in Baltimore, MD.

Under indirect supervision, works closely with medical providers, primary care teams, and social services agencies to provide short term care coordination and connection to resources and support to program clients to improve their health and general well-being through education and provision of coordination of care and services—works in both clinical and community-based settings, including client's homes.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the Health Choice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

Responsibilities:

• Communicates to clients/patients the purposes of the program and the impact it may have on their well-being. Help patients identify socio-economic issues that affect their overall health and develop health/social management plans and goals.
• Documents all client encounters and contracts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic client files.
• Educates clients on the proper use of the Emergency Room and provides information about alternatives. Coaches patients in effective management of their chronic health conditions and self-care.
• Assists clients in assessing health-related services, including but not limited to obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care and/or social services.
• Provides support and advocacy during an initial medical visit or when necessary to assure clients' medical needs and referrals required are being conveyed.
• Facilitates client access to community resources, including locating housing, food, clothing, parenting, and providers for each life skills, and relevant mental health services. Assists clients in utilizing community services, including scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible.
• Facilitates communication and coordinates services between providers and the clients/patients. Coordinates and monitors services, including comprehensive tracking of clients' compliance in relation to care plan objectives.
• Builds and maintains positive working relationships with clients, providers, nurse case managers, agency representatives, and office staff from diverse cultural and socio-economic backgrounds. Works to reduce cultural and socio-economic barriers between clients and institutions.

Secondary Functions:

• Observe confidentiality of member records in accordance with MPC policies and procedures.
• Must be available and willing to travel to such locations and with such frequency as the employer determines is necessary or desirable to meet its business needs. Possession of a valid Maryland State Driver's License is a requirement for this position.
• Work requires incumbent who provides such services in patient care or clinical areas, and is required to be fully vaccinated, "proof of vaccination" required for this position.

Requirements

Knowledge and

Skills:

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Knowledge of community agencies and resources.
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Ability to plan, implement, and evaluate individual client care plans.
• Knowledge of transportation and other…