Patient Contact Center Representative, Patient Billing / Collections, Georgia
Northeast Georgia Health System
Community-Based Care Coordinator I
CareSource
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $36,360 - $58,230 per hour
Job Level
Junior
About the role
- The Community Based Care Coordinator I – Arkansas coordinates assessment, person-centered planning, service coordination (funded or unfunded), disease management and transitions between all levels of care under oversight from the care coordination team.
- Understand and implement person-Centered thinking; facilitate the person-Centered planning process.
- Assist with in person-centered care training to maximize the development of the Person-Centered Service Plan.
- Coordinate services and health benefits for members who meet criteria.
- Consult with members, families and legally responsible people to discuss behavioral and physical health care needs.
- Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered Service Plans.
- Assist with ongoing communication with the internal complex clinical team.
- Assist with educating members about their condition, medication and instruction.
- Monitor service delivery to ensure appropriateness of care and waiver compliance.
- Complete psychosocial health care questionnaires and behavioral assessments by gathering information from member, family, provider, and other stakeholders.
- Monitor and evaluate Person-Centered Service Plan on an ongoing basis; modify as needed based on member choice.
- Assist with care coordination activities to support member outcomes.
- Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record per guidelines.
- Participate in meetings with providers to inform them of services and benefits.
- Engage members through information collection and assertive outreach, including home visits and telephone calls.
- Educate member/caregiver regarding healthcare access and benefits; provide health education and wellness materials.
- Regular travel to conduct member visits, provider visits and community-based visits as needed.
- Document care coordination activities and member response in a timely manner.
- Look for ways to improve processes to enhance member experience and share with leadership to become standard practice.
- Perform any other duties as requested.
Requirements
- High School Diploma or GED equivalent
- Minimum of one (1) year of experience working with developmentally or intellectually disabled or behavioral health clients (i.e. discharge planning, case management, care coordination, and/or home/community health management experience)
- Intermediate proficiency with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Strong advocate for members at all levels of care
- Strong understanding and respect of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical thinking, decision-making and problem-solving skills
- Strong organizational and time management skills
- Must have valid driver’s license, vehicle and verifiable insurance
- Employment in this position is conditional pending successful clearance of a driver’s license record check and verified insurance
- Employment in this position is conditional pending successful clearance of a criminal background check
- Employment in this position is conditional pending successful clearance of a pre-employment drug screen, and annual drug screens thereafter
- Influenza vaccination is a requirement of this position; annual proof of immunization during influenza season
- Must reside in the same territory they are assigned to work in
- Regular travel to conduct member visits, provider visits and community-based visits as needed to ensure effective administration of the program
