Care Coordinator - Region ; Lonoke

Job Description:

Job Title:

Care Coordinator I

Location:

Only open to applicants in the following Arkansas county:
Lonoke Department:
Care Coordination

Reports To:

Care Coordination Supervisor Employment Status:
Full-time FLSA Status:
Non-exempt

Develops, documents, evaluates, monitors, and modifies the assigned members’ annual Person-Centered Service Plan (PCSP) on an ongoing basis, including member choices; the care plan may include, but is not limited to, the following areas of service:
Behavioral Health, Community Resources, Crisis Safety, IDD/Waiver, Financial Information, Mental Health, Physical Health, and Substance Abuse.

Ensures that members’ health, safety, and service needs are met by working directly with the individual members, their families/guardians, their providers, and other members of their circle of support.

Maintains monthly contact with members, their families/guardians, providers, community resources, stakeholders, and other professionals in the members care team.

Conducts in-person visits at least once every quarter, with more frequent monthly visits for complex cases.

Maintains contact via telephone at least once a month and utilizes virtual meetings through a company-provided laptop equipped with communication and database software.

Documents work activities and member information into the electronic medical records system (EMR) within twenty-four hours according to APC policies regarding documentation.

Complies with the core metrics established for assigned members according to APC policies and regulatory standards.

Answers questions and provides information over the telephone, email, and in person; answers and assists callers via telephone calls, utilizing a company-provided cellular telephone.

Promotes individual and organizational continuous learning and performance improvement by modeling own self-directed professional development and remaining current on methods, tools, and resources needed to improve job performance; demonstrates that new learning gained from professional development is incorporated into practice.

Maintains compliance with Conflict-Free Case Management rules, as well as all applicable rules and regulations within the Arkansas PASSE Medicaid Provider Manual, Section II, 240.000, the Arkansas PASSE Care Coordination Agreement, Arkansas Insurance Department, Arkansas Medicaid, and other applicable Medicaid Manuals and updates.

Always maintains confidentiality and integrity of Arkansas Provider Coalition, complying with The Health Insurance Portability and Accountability Act (HIPAA) and Arkansas Provider Coalition policies.

Operates a company-issued laptop computer with Microsoft Office/Microsoft 365 suite products, company-issued smart phone, and other communication and database software in the performance of essential job functions.

Operates a personal automobile in the performance of essential job functions for travel to meetings, members’ homes, provider offices, conferences, and training.

Maintains a home office with reliable internet that supports standard home office equipment, free from common distractions, and ensures the security of company-issued assets and Protected Health Information (PHI).

Tasks may be performed in various locations, including the home office, member homes, provider offices, APC corporate office, car, and public areas.

The necessary knowledge, experience, skills, and abilities are typically, though not always, obtained through:
One year of beginner-level experience with Microsoft Excel, Outlook, and Word, plus a bachelor’s degree in social work, psychology, sociology, another social science, or a health-related field; or One year…