This is a Contractor, exempt position for our client in the healthcare sector. 

Schedule: 8 hour shift, Monday to Friday

Willingness to travel: 100% (Required)

Work Location: Onsite - Patients' Homes 

The Care Coordinator assists members appropriate for care coordination and case management services in achieving their optimal level of health.  The Care Coordinator must have relevant experience and education to work with Enrollees with complex health, behavioral health, long-term services and supports and/or psychosocial needs and perform the following functions:

1. Provides access to a single point of contact for all questions or inquiries;

2. Conducts assessments with Enrollees and/ or their care giver

3. Develops  an Individualized Care Plan that is periodically reviewed and updated;

4. Provides disease self-management and coaching;

5. Conducts medication review, including reconciliation during transitions of care setting;

6. Provides periodic monitoring of health, functional and mental status along with pain and fall screening;

7. Ensures the provision of services in the least restrictive setting and transition support across and between specialties and care settings;

8. Connects Enrollees to services that promote community living and help to delay or avoid nursing facility placement;

9. Coordinates with social service agencies (e.g., local departments of health, social services and community based organizations) and the referral of Enrollees to state, local and/or other community resources; and

10. Collaborates with nursing facilities to promote adoption of evidence-based interventions to reduce avoidable hospitalization, management of chronic conditions, medication optimization, fall and pressure ulcer prevention, and the coordination of services beyond the scope of the nursing facility benefit.

• 1-3 years of experience working in social services and/or clinical experience working with complex populations, including those with physical health, behavioral health, long-term services and supports and/or psychosocial needs.
• A bachelors (or higher) degree in a health related field and licensure as a health professional (where such licensure is available); or Certification as a case manager (as documented and accepted on URAC’s website@ www.urac.org); or MSW licensure 
• Michigan License (As appropriate LCSW, LBSW, or RN) (Required)
• Valid driver’s license with car insurance and ability to provide personal transportation 
• Current unrestricted Social Worker License     
• Ability to communicate with beneficiaries who have medical needs and may have communication barriers, such as those who may require an interpretor, including sign language, or who use assistive technology to communicate
• Ability to navigate resources and computer systems to access information, including the Medical Management system, on-line directories, Microsoft Applications and web-based search engines.                                                                           

All your information will be kept confidential according to EEO guidelines.