Care Coordination Associate - Pop Health

Care Coordination Associate - Pop Health

Join to apply for the Care Coordination Associate - Pop Health role at Health Care Access Maryland
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This range is provided by Health Care Access Maryland. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$23.00/hr - $23.00/hr

Health Care Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.

healthcareaccessmaryland.org

The Community Care Coordinator (CCC) will provide short-term care coordination services to individuals and families utilizing MD Medicaid insurance. The CCC will be responsible for receiving referrals from various sources, assessing client needs, and partnering with Medicaid Managed Care Organizations, Providers, Public Health and community resources to address the needs identified as barriers to care. The CCC routinely performs home and telephone assessments to provide linkage and coordination to primary care, dental care, specialty care, preventive health screenings, and behavioral health.

• Participate in professional development opportunities that build effectiveness in areas of client engagement and intervention, motivational interviewing, and trauma-informed outreach strategies.
• Participate in local/state meetings, conferences, and community meetings.
• Participate in city-wide initiatives/groups/committees as applicable.
• Consistent and timely communication with supervisor.

• Initiate client outreach via telephone or via home visit within 5-10 days of receipt of a referral.
• Provide health education and system navigation to Medicaid benefited services including primary care, dental care, specialty care, preventive health screenings, lead screenings, case management, and vaccinations.
• Connect and collaborate with Providers, Hospitals, Community Based Organizations, MCO Case managers and other professionals to address and resolve client need.

• Assess, triage, and refer clients to a variety of available resources to reduce barriers to wellness including the following partners: B’More for Healthy Babies Centralized Intake, home visiting, WIC, Safe Sleep, etc. Appropriate MCO incentive programs and case management, Medical Assistance Transportation.
• Provide linkage and coordination to OB, MCO, pediatric or primary care, postpartum care, dental care, behavioral health, specialty care, as well as linkage to the Maryland Medical Care Programs as needed.
• Maintain a monthly minimum success rate of 70%.
• Maintain a monthly minimum on-time case closure rate of 90%.

• Documentation of all outreach activities according to standard operating procedures in the HCAM electronic medical database.
• Documents client assessments, activity, service plans and resolutions; prepare narrative and statistical reports.
• Provide Service Response letters to referring Entities at the time of case closure.

• Complete and submit timesheets timely and accurately.
• Complete all the training courses required as assigned.

• Additional duties as assigned.

• High School Diploma or GED required.
• Associate or bachelor's degree in a related area;
  Human Services, Social Work, Health Education, from an accredited college or university preferred but not required.
• Community Health Worker Certification a plus; the willingness to undergo certification training within 1 year of employment.
• A minimum of 1 year of related experience.
• Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting.

In compliance with Maryland's wage transparency requirements, the compensation for this role has…