Care Coordinator CUA Cares Center
Statement of General Purpose The Care Coordinator works in collaboration with the CUA case management team in continuous partnership with children and youth with special health care needs (CYSHCN), children with medical complexities (CMC) and their family caregiver(s), clinic/hospital/specialty providers and staff in a team approach. The Care Coordinator serves as an integral part of the case management team to help empower and engage parents/caregivers in the child's healthcare by creating and promoting adherence to a care plan developed in coordination with the client, primary care provider and family/caregiver(s) all leading to improved health for the child/youth. The Care Coordinator will provide support, guidance and assistance to client and families and help connect them to relevant community resource with the goal of enhancing their health and well-being as they navigate through complex healthcare environment. While the Care Coordinator’s duties may vary dependent on clinical needs, the overarching purpose of this position is to collaborate with parents and caregivers to provide education and care coordination to help them manage their child/children's medical conditions and health.
Examples of Essential Functions and Responsibilities
- Works with patients to plan and monitor care.
- Assess patient's unmet health and social needs.
- Develops a care plan with the client, family/caregiver(s) and providers (health management plan, medical summary, and ongoing action plan, as appropriate).
- Monitors adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed.
- Completes the Basic Health Information Form along with MVR requests, Insurance verification and PCP.
- Listens to and assesses patients' needs and as part of a collaborative process with the patient, plans interventions to help patients cope with social, emotional, economic, and environmental.
- Interacts with the counterparts at Community Health Centers, Hospitals, Medical Centers, etc. and acts as a communication liaison to understand the patient's clinical individual needs and desires.
- Assess barriers to care and engage patients and families in creating potential solutions to financial, practical and social matters.
- Visits consumers in their home in collaboration with the case manager, Tabor RN and/or OHS RN Liaison in the community and in clinical setting.
- Researches, selects and promotes adaptation of best practice findings to ensure quality and optimal care.
- Identifies gaps in service and develops treatment.
- Attends all mandatory meetings.
- Other duties as assigned.
Core Competencies
- Enthusiasm to work with people from diverse racial, ethnic, and socioeconomic backgrounds.
- Demonstrates and promotes a culture of diversity, equity and inclusion.
- Plans, organizes, and coordinates the activities of a group of case managers in child welfare.
- Knowledge of basic and specialty-specific medical terminology.
- Sensitive to the needs of multi-cultural communities, including families from low socio-economic and high-risk backgrounds.
- Knowledge of behavioral health, educational, and physical health services and community resources.
- Understanding managed care delivery systems.
- Excellent verbal and written communication skills.
- Skilled in complex problem solving, including identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
- Proficiency with Windows-based software, including Microsoft Word, Excel, and Outlook.
- Good history-taking skills; strong, competent computer skills; accurate and complete documentation skills; good time management and organizational skills.
Minimum Requirements
- Bachelors in healthcare or a field of specialization such as public health, health sciences, health management, or other health-related programs and
- Three (3) years' experience in clinical or community resource settings, care coordination, and/or case management experience is desirable and
- Driver’s license with clean driving record.
ADA Component
- This role requires regular hearing, talking, walking, and sitting; occasional standing, driving, and lifting up to 25 pounds. Requires regular travel.
This is not intended to be an exhaustive list of all responsibilities and duties. Employees may be directed to perform job-related tasks other than those specifically described in this description. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. Caring People Alliance is an equal opportunity employer.