Care Coordinator

Summary/Position Objectives

Under direct supervision, works closely with care management (CM) team to provide short-term care coordination and connection to resources. The Care Coordinator collaborates with members, providers, and the CM team to support members’ health and overall well-being through education, care coordination, and access to services.

Job Type
Full-time

Under direct supervision, works closely with care management (CM) team to provide short-term care coordination and connection to resources. The Care Coordinator collaborates with members, providers, and the CM team to support members’ health and overall well-being through education, care coordination, and access to services.

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.

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.

• Provides administrative support to the members of the CM team.
• Collects data for Health Risk Assessments (HRA)
• Screens for eligibility and benefits.
• Identifies members without a PCP and refer to Member Services.
• Screens members by priority for CM services and refer as appropriate.
• Performs transition of care duties to include, but not limited to, contacting the members’ PCP, Medical POA, or other medical providers (i.e., specialists, home health agencies) for information pertaining to special needs.
• Produce and mail routine CM letters and program educational materials.
• Documents all encounters and contacts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic member records, which include notes, release of information, assessments and other medical documents acquired on behalf of the member.
• Motivates members to be active and engaged participants in their health and overall well‑being.
• Provides educational material and member follow-up, arrange PCP visits, and perform care coordination under the direction of the Care Manager.
• Assists members in accessing health related services, including but not limited to obtaining a medical home, understanding the appropriate use of the medical home, overcoming barriers to obtaining needed medical care and/or connecting with social services.
• Proactively assist with care coordination of needed resources to address barriers or SDoH needs, close gaps in care, and help with the appropriate access to care.
• Follows up with both members and providers regarding identified health and/or social services.
• Perform tasks as directed by the CM team to promote member compliance such as verifying appointments or obtaining medical records.
• Continuously expand knowledge and understanding of community resources and services.
• Facilitates member access to community resources, including, but not limited to, housing,…