- Assists Clinical Care Manager and Non-Clinical Care Manager to coordinate interventions for individualized care plans.
- Contacts members as necessary to assist in coordination of services.
- Prioritizes members according to intensity, need, and required follow-up.
- Provides feedback and information to Clinical Care Managers and Non-Clinical Care Managers as needed.
- Identifies and effectively utilizes health plan benefits and community resources to meet the needs of members and caregivers.
- Makes appropriate referrals to other programs to address the member's needs
- Assists in report production, data collection and data entry for care plan management.
- Collaborates with interdisciplinary care team and facilitates case reviews as necessary.
- Coordinates provision of social services, home & community-based services and other identified services and resources.
- Provides member education during care management activities
- Completes Health Risk Assessment (HRA) as appropriate per contracts.
- Maintains accurate and timely documentation in the electronic care management system.
- Participates in orientation of new personnel
- Participates in regular team meetings and department in-services
- Works in conjunction with others on the team and promotes collaborative teamwork
- Adheres to organizational policies and procedures
- Maintains a working knowledge of and adheres to applicable federal/state regulations including but not limited to, laws related to patient confidentiality, release of information, and HIPAA.
- Maintains appropriate professional boundaries.
- Uses safe work practices. Promptly reports workplace and patient safety issues to supervisor.
- Interacts in a manner, which is professional, respectful, positive, helpful, and promotes trust.
- Maintains professional growth and development
- Complies with all requirements of the Care Management Model of Care
- Other duties as assigned.
- Associates degree in health care related field preferred.
- Prior experience in a health care setting
- Understanding of Medical Terminology
- 1+ years in healthcare
- Basic knowledge of care management processes
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Care Coordinator - Glendale, United States - Independent Living Systems
Description
Job Description
Job DescriptionAbout Us
Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.
Position Summary
The Care Coordinator provides non-clinical case management support functions for care management services of members enrolled through ILS' client health plans to assist in promoting effective education, self-management support, and timely healthcare delivery to achieve optimal quality and positive outcomes. The Care Coordinator behaves in a professional manner, and consistently demonstrates and promotes the values of respect, honesty, care and dignity for the members as well as all other team members involved in the servicing of ILS' clients. The Care Coordinator is involved in care management support services inclusive of Special Needs Members (SNP), Seniors and Persons with Disabilities (SPD), private insurance, Medicare, and state's Medicaid programs. The Care Coordinator works to support the care management model including coordination, management and follow-up on non-direct clinical interventions. The Care Coordinator is responsible to assist Clinical Care Managers and Non-Clinical Care Managers in the coordination and implementation of various interventions in members' individualized care plans.
Essential Functions
Education and Experience
EEO Statement
In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace.
Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
