Job Description
Job Summary: The Care Coordinator is responsible for assisting members and their families in obtaining and understanding services/programs available through the Health Homes Program in order to improve their health and overall well-being by communicating in the language in which the member best understands. The Care Coordinator will be responsible for servicing members in Kitsap County.
Essential Functions:
- Reviews data and interviews potential members to verify eligibility for enrollment in the Health Homes Program (HHP) and completes referral process when necessary.
- Orients and educates members and their families by meeting with them to explain the role of the Care Coordinator, initiate a care plan, and provide educational information related to treatments, procedures, medications, and continuing care requirements in coordination with their healthcare providers.
- Works with healthcare professionals, community and social support services, and other company employees.
- Documents evidence of care in the member’s record in a concise and timely manner using the EHR system.
- Routinely checks in or schedules appointments with assigned members and maintains documentation of all member encounters to complete established reporting requirements.
- Communicates with providers and care team regarding the members progress and care needs.
- Explains and translates information related to the member’s care to and on behalf of the member, when necessary.
- Identifies and follows-up on all referrals made to assure continuity of care and that member/family needs have been met.
- Reassesses care plans to ensure effectiveness in achieving desired outcomes for members and their family.
- Addresses member questions and processes member requests in a timely manner.
- Investigates and directs member inquiries or complaints to appropriate staff members and follows up to ensure satisfactory resolution.
- Follows established policies to enroll and disenroll members.
- Maintains knowledge of community services and resources available to members including housing resources, financial/income assistance, transportation assistance and food assistance.
- Follows established protocol around patients experiencing pain, safety concerns and/or mental health concerns and creates safety plans, if necessary.
- Recognizes signs of child and elder abuse and reports appropriately to Child/Adult Protective Services.
- Understands and abides by all departmental and companywide policies and procedures.
- Complies with all safety and injury prevention policies and regulations.
- Performs other duties as assigned or required.
- The Health Homes Program is high touch in-person approach designed to meet members’ needs in person at the member’s preference, i.e., at home, at PCP clinic, at the hospital, at a coffee shop, etc.
Qualifications:
- Education & Experience: Bachelor's Degree in sociology, social work, public health, physiology, or other related field OR Associates Degree + 1 year of experience
- Language:
- Fluent in English (written and verbal)
- Must be able to translate verbal and written information to and from the member.
- Fluent in Spanish (written and verbal).
- License/certification: Current and valid Driver’s License and proof of auto insurance.
- Skills required:
- Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs.
- Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear, effective manner.
- Ability to identify problems and use logic and related information to develop and implement solutions.
- Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures.
- Physical Requirements: Physical demands associated with office work and driving, including but not limited to:
- Consistently operating a computer and other office equipment such as a telephone, calculator, copy machine, and printer.
- Must be able to remain in a stationary position 75% of the time.
- Must be able to move around the office and the community to meet own members and clients of the time.
- Frequently moving or carrying office equipment weighing up to 15 pounds across offices.
- Ability to operate a vehicle and travel to meet with assigned members around the community, attend meetings and different office locations as required or requested.
- Travel Requirements:
- Hybrid - remote office location
- Care Coordinators are required to travel to their members within their designated assignments when conducting visits with clients in the field
- Eligible for mileage reimbursement for the use of your vehicle for business-related expenses
remote work