Clinical Care Coordinator, LPN/BSW
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Job Description
Remote Clinical Care Coordinator coordinating medical, behavioral, and social services for Washington members. Supporting care plans, crisis interventions, provider communication, and community-resource access.
Responsibilities:
- Assist with and coordinate care management activities under the direction of an RN or LICSW Case Manager, Supervisor, or Manager
- Participate as an interdependent team member in member assessment, planning, facilitation, and advocacy
- Communicate with providers to arrange follow-up appointments and obtain clinical records
- Assist members with care coordination
- Coordinate member transportation and access to community resources such as food pantries and housing
- Coordinate and facilitate physical and behavioral health services within an episode of care
- Document and manage case identification, assessment, planning, goal prioritization, monitoring, support, and case closure
- Participate in clinical outcome data monitoring and collection
- Assess members’ medical, behavioral, and social health status, history, risks, gaps, and utilization
- Develop member-centric plans of care and interventions
- Provide behavioral health support and interventions to members in crisis
- Collaborate with PCPs, specialists, and community resources/vendors
- Document care coordination activities in the medical record system
- Support staff in answering member calls, including participation in the 5 p.m. crisis-call rotation
- Perform other duties as assigned
Requirements:
- Bachelor’s degree in social work, Practical Nursing Certificate, or an equivalent bachelor’s degree in a relevant health care field
- Candidates with a bachelor’s degree in a relevant health care field must have a minimum of 1 year of experience in care coordination or care management preferred
- Previous experience as a medical assistant, behavioral health technician, or other social welfare services, or equivalent combination of education and highly relevant experience preferred
- Valid Washington State Licensed Practical Nurse (LPN), or qualifying education pathway
- Minimum of 1 year of clinical and/or care management experience required
- Proficiency and experience with Microsoft Office products
- Knowledge of Medicare and Medicaid regulations
- 1 year in care management in a health plan, community agency, or Accountable Care Organization preferred
- Knowledge of care management systems and planning techniques
- Experience in care management workflow systems preferred
- Knowledge of medical terminology, electronic medical records, developmental disability services, special education IDEA/ADA, and healthcare processes preferred
- Understanding and experience with healthcare systems, regulations, policies, functions, and documentation standards
- Strong written and verbal communication skills; ability to communicate and collaborate effectively with physicians and allied healthcare providers
- Comfortable presenting in a group setting
- Successfully pass a criminal background check
- Must not be sanctioned or excluded from participation in federal or state healthcare programs
- Meet vaccination requirement, subject to medical or religious exemptions
- Ability to perform essential functions and meet sensory, physical, and mental requirements, with reasonable accommodation where applicable
Benefits:
- 5% annual incentive target based on company, department, and individual performance goals
- Medical, Prescription, Dental, and Vision
- Telehealth app
- Flexible Spending Accounts
- Health Savings Accounts
- Basic Life AD&D
- Short- and Long-Term Disability
- Voluntary Life, Critical Care, and Long-Term Care Insurance
- 401(k) Retirement and generous employer match
- Employee Assistance Program and Mental Fitness app
- Financial Coaching
- Identity Theft Protection
- PTO accrual starting at 17 days per year
- 40 hours Community Service volunteer time
- 10 standard holidays
- 2 floating holidays
- Compassion time off
- Jury duty
- Overtime eligibility
- Remote work arrangement
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