Care Coordinator
Description
Key Responsibilities
- Coordinate Medicaid Waiver and Medicaid Home Health services to ensure continuity, appropriate service delivery, and quality outcomes.
- Serve as a primary liaison among individuals, families, guardians, case managers, nurses, DSPs, home health aides, healthcare providers, and other members of the care team.
- Coordinate referrals, admissions, assessments, authorizations, appointments, care transitions, hospital discharges, and changes in condition or service needs.
- Monitor individual needs, goals, health and safety concerns, service delivery, and potential gaps in care; communicate and escalate concerns as appropriate.
- Coordinate with case managers and healthcare providers regarding service plans, plans of care, physician orders, assessments, and required documentation.
- Maintain accurate, timely, and complete records and support compliance with Medicaid Waiver, Medicaid Home Health, HIPAA, and LEL requirements.
- Review documentation for completeness and follow up on missing or outstanding information needed to support services and reimbursement.
- Participate in care coordination, IST, case conference, and other meetings as assigned.
- Support quality assurance activities, including complaints, incidents, changes in status, and service concerns.
- Provide professional customer service and assist individuals and families in navigating healthcare, waivers, and community resources.
- Maintain effective relationships with referral sources, case managers, healthcare providers, individuals, families, and community partners.
- Perform other duties as assigned.
Qualifications:
- Must be knowledgeable of Medicaid Waiver and Medicaid Home Health services and requirements.
- Understanding of care coordination and continuity-of-care practices.
- Knowledge of healthcare terminology and clinical documentation.
- Ability to understand service plans, care plans, assessments, physician orders, and related documentation.
- Strong organizational and time-management skills.
- Strong attention to detail and follow-through.
- Excellent written and verbal communication skills.
- Strong interpersonal and relationship-building skills.
- Strong problem-solving and critical-thinking skills.
- Ability to prioritize multiple individuals, referrals, deadlines, and responsibilities.
- Ability to work independently while maintaining effective communication with leadership and the care team.
- Proficiency with electronic health records, Microsoft Office, and other electronic documentation systems.
- Ability to maintain strict confidentiality and handle sensitive information appropriately.