Intensive Care Coordinator; Brookings, Oregon

Brookings, OR, US

7 days ago Requisition

Salary Range: $24.00 To $27.00 Hourly

All Care Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.

This position is responsible for identifying social determinants of health needs for all All Care Medicaid, Medicare, and Medicare dual eligible members of all ages, assisting in navigating the community-based network of services, providing benefit education, facilitating communication between the member and their providers, and assisting in member development of a self-management plan by performing the following duties.

• Assessment, planning, implementing, coordinating and requesting services required to meet member’s health care needs to ensure timely access to medical, behavioral health, and community services and to ensure that all services are provided within HIPAA guidelines.
• Acts as an advocate for members in problem resolution and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self‑reliance.
• Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member’s identified needs, including re‑evaluation of the individualized care plan (ICP).

• Assumes responsibility for a mixed acuity case load.
• Conducts engagement activities and provides benefit information to members including those with mental health, physical health, and oral health care needs.
• Facilitates consents and gathers clinical information.
• Acts as a key liaison in keeping lines of communication open between members, the ICT, provider, behavioral health, chemical dependency vendor, and/or DHS caseworker.
• Refers members and collaborates with internal staff from the Enrollment, Member Services, Utilization Management, and Quality Management Departments.
• Facilitates communication and coordinates community support and social service systems to ensure continuity of services.
• Ensures accurate and complete Care Management System documentation.
• Provides care coordination in a variety of settings as the need dictates (i.e., in the office, provider offices, other healthcare facilities, and member homes).
• Develops and maintains a strong information base of community resources.
• Demonstrates boundaries regarding confidentiality and personal relationships.
• Assesses member learning style and develops teaching approaches appropriate to reading and comprehension skills.
• Helps members choose actions that will bring goals and objectives to completion in a timely manner.
• Collaborates with providers of care to ensure appropriate access to services and follow up on the results of referrals.
• Assists as needed in quality initiatives for the department.
• Coordinates care needs for the Dual Special Needs Population (DSNP) member to ensure compliance with the Special Needs Model of Care (SNP MOC).
• Prepares for and participates in all required DSNP trainings, education, and member audits.
• Participates in initial, annual, and ongoing trainings.
• Acts as preceptor during the onboarding of new hire employees.
• Works collaboratively in a team environment with a spirit of cooperation.
• Respectfully takes direction from care coordination leaders.
• Meets all required training including those listed in Relias Learning Module System (LMS).
• Maintains punctual, regular and predictable attendance.
• Other duties as assigned.

This position requires on-call responsibilities. During on…