Job Information
Commonwealth Care Alliance Care Coordinator (Worcester) in Worcester, Massachusetts
Why This Role is Important to Us:
As part of the care management dyad, the Care Coordinator works directly with assigned CCA members to help them navigate the health care system, ensures the members know how to get services and answers member questions on obtaining needed care. The Care Coordinator communicates with members, via the method, mechanism and cadence that works best for each member, including in-person visits, to provide engagement, promote establishment of trust, and ensure responsiveness to concerns and questions.
The Care Coordinator is responsible for assisting members in creating a member-centered care plan and helping members access a broad base of support in the care team to advance their goals for independent living, recovery, and community connection.
This position requires in person visits to members in their homes and will support members across various locations
Supervision Exercised:
- No, this position does not have direct reports.
What You'll Be Doing:
Maintains open lines of communication with CCA members and interact with members as needed, based on member preference and care plan recommendations
Primary resource for members regarding health care benefits
Collaborates with community-based PCPs/ Specialists, as needed.
Ensures members have an interdisciplinary care team (ICT) composed of all the people key to managing member care
Convenes the ICT for each member at least annually and as needed
Ensures members have a current and up-to-date individualized care plan
Supports member during transitions of care, pre and post discharge
Assist members with entering service requests
Assesses quality gap reports at each visit; collaborate with care team and PCP to close these gaps
Performs joint visits with other care team members as appropriate to address complex care needs
Documents using a Certified Enrollee Record, in an effective manner while strictly adhering to CCA policies and procedures.
Utilizing and depending on CCA internal resources, ensures that the plan of care is implemented in a timely manner.
Provide outreach to members via telehealth technologies (video, chat, etc.) as appropriate for care management services.
Active involvement in CCA projects/initiatives throughout the year
Support needs for local/team/pod trainings or clinical seminars
Assists CCA leadership with the development, refinement and enhancement of programs, initiatives, processes, policies, workflows, and projects.
Mentor for new care coordinators -- during and beyond their orientation period, if needed
Support team need gaps at the discretion of Clinical Manager (i.e., intermittent support with team meeting or huddle facilitation, communicate updates to staff)
Act as a role model to peers and support team members through change, set strong example of CCA's mission and model of care.
Working Conditions:
Work locations include residential and community sites.
Must be willing and able to travel to member's homes in addition to working in the local CCA office as needed.
Valid driver's license with no restrictions. Ability to be active and mobile across state assigned to work
What We're Looking For:
Qualifications:
High School Diploma/GED required
Associate's degree or Bachelor's degree preferred.
Clinical license/certification (i.e., LPN, Medical Assistant, CHW) preferred
1-2 years caring for patients/members with complex medical, behavioral health, and social needs required
5+ years' experience working in health care preferred.
Experience with a Medicare Advantage population preferred.
Experience with Substance Use Disorders preferred.
Required Knowledge, Skills & Abilities:
Experience in customer-facing role
Strong communication skills
Conflict management skills
Organizational abilities
Language(s):
- English required, bilingual preferred
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.