Maternity Care Coordinator

Saved job description

Job Summary:

The Maternity Care Coordinator is the member concierge and is the single point of contact for assessment, person centered planning, and service coordination for the Mom and Baby Beginnings program

Essential Functions:

Telephonically engage and enroll members in Mom and Baby Beginnings program

Engage the member and complete a health and psychosocial survey, taking into account the cultural and linguistic needs of each member

Educate members on the Mom & Baby Beginnings program

Conduct initial screening and needs assessments

Verify eligibility, previous enrollment history, demographics, and current health status of each member

Provide timely and accurate documentation

Build and strengthen member relationships by providing quality customer service

Establish positive, consultative relationships with assigned Physician offices

Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation

Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process

Work closely with a members’ assigned case manager to coordinate care and programs

Understand and implement Person-Centered Thinking

Facilitate the Person-Centered planning process

Participate in person-centered care training in order to maximize the development of the Person-Centered plan

Coordinate services and health benefits for members who meet criteria

Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered plans

Ongoing communication with the internal complex clinical team

Monitor service delivery to ensure appropriateness of care and compliance with waiver

Assist Providers with technical questions regarding process

Monitor and evaluate Person-Centered care plan on an ongoing basis through member, family, provider and stakeholder contact by modifying the plan as needed based on member choice

Assist with internal 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 according to current accreditation and compliance guidelines

Participate in meetings with providers to inform them of services and benefits available to members

May precept and/or mentor new staff

Perform any other job duties as requested

Education and Experience:

Diploma or Associates in a healthcare related field or equivalent years of relevant work experience is required

Bachelor’s degree in a healthcare related field is preferred

A minimum of three (3) years of experience in a healthcare field (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Competencies, Knowledge and Skills:

Intermediate proficiency level 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

Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice

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 listening and thinking skills

Decision making and problem-solving skills

Strong organizational and time management skills

Trauma informed training

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Hourly

Organization Level Competencies

- Fostering a Collaborative Workplace Culture

- Cultivate Partnerships

- Develop Self and Others

- Drive Execution

- Influence Others

- Pursue Personal Excellence

- Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-JS1