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RN Care Coordinator

Baltimore, MD

Posted: 09/14/2018 Employment Type: Full Time Industry: Healthcare Job Number: A

Job Description:
The Care Coordination Program (CCP) is an outreach and short-term care coordination program within.. The Care Coordination mission, is to outreach and provide community-based, client focused services to the following groups: Non-Compliant Medicaid recipients, Pregnant and postpartum women, Newborns and children under age 2, Children and Adults with Special Health Needs, and Family Planning Recipients.
The RN Care Coordinator provides education and reinforcement about Medicaid benefits and system navigation, assistance with addressing barriers to healthcare and linkage to their HealthChoice Managed Care Organization, Primary Care Provider and Specialty care.


ESSENTIAL DUTIES
The primary responsibilities of this position are:

  • Co-Team Lead with SW Care Coordinator, responsible for assignment of referrals and holding bi-weekly team meetings with team members to discuss complex cases, best practices, and sharing of resources.
  • Provide education, assistance and care coordination services to high-risk pregnant women and infants, referred clients that have experienced an infant or child loss, as well as clients with complex medical and/or psychosocial needs.
  • Assess prenatal clients' risk and eligibility for referral to Baltimore City's network of home visiting programs according to established vulnerability index criteria/guidelines.
  • Provide appropriate resource linkage to programs and services such as WIC, MCO case management, safe sleep, car seat assistance, etc., that assist pregnant/postpartum women and families in Baltimore City.
  • Develop and implement methods for coordinating and evaluating nursing care coordination services that are carried out in diverse settings such as client homes, public agencies, churches, community-based organizations, etc.
  • Provides education and reinforcement about Medicaid benefits and system navigation, assis with addressing barriers to healthcare and linkage to their HealthChoice Managed Care Organization, Primary Care Provider and Specialty care.

Additional duties and responsibilities:

  • Consult with other community agencies to identify potential resources for resolving client's health, psychosocial or financial problems.
  • Deploy various methods for locating referred clients that are difficult to locate; establishing liaisons with DSS, PCP's, neighbors, churches, and other community groups.
  • Function as a liaison to external agencies and shares information with others, which may impact care and/or services of clients and referral services.
  • Participates in staff, community, professional and inter-agency meetings and conferences.The Care Coordination Program (CCP) is an outreach and short-term care coordination program within the company. The Care Coordination mission, as detailed by Maryland's Medicaid Managed Care Program known as HealthChoice, is to outreach and provide community-based, client focused services to the following groups: Non-Compliant Medicaid recipients, Pregnant and postpartum women, Newborns and children under age 2, Children and Adults with Special Health Needs, and Family Planning Recipients.
    The RN Care Coordinator provides education and reinforcement about Medicaid benefits and system navigation, assistance with addressing barriers to healthcare and linkage to their HealthChoice Managed Care Organization, Primary Care Provider and Specialty care.

    ESSENTIAL DUTIES
  • The primary responsibilities of this position are:
  • Co-Team Lead with SW Care Coordinator, responsible for assignment of referrals and holding bi-weekly team meetings with team members to discuss complex cases, best practices, and sharing of resources.
  • Provide education, assistance and care coordination services to high-risk pregnant women and infants, referred clients that have experienced an infant or child loss, as well as clients with complex medical and/or psychosocial needs.
  • Assess prenatal clients' risk and eligibility for referral to Baltimore City's network of home visiting programs according to established vulnerability index criteria/guidelines.
  • Provide appropriate resource linkage to programs and services such as WIC, MCO case management, safe sleep, car seat assistance, etc., that assist pregnant/postpartum women and families in Baltimore City.
  • Develop and implement methods for coordinating and evaluating nursing care coordination services that are carried out in diverse settings such as client homes, public agencies, churches, community-based organizations, etc.
  • Provides education and reinforcement about Medicaid benefits and system navigation, assis with addressing barriers to healthcare and linkage to their HealthChoice Managed Care Organization, Primary Care Provider and Specialty care.

 

Qualifications

  • A Bachelor's degree in nursing from an accredited college or university.
  • Current licensure as a Registered Nurse in the State of Maryland.
  • A minimum of one year related experience
  • Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting.

KNOWLEDGE, SKILLS & ABILITIES

  • Strong computer literacy skills, specifically with MS Word, Excel, Outlook and SharePoint (365).
  • Organizational skills with the ability to meet a demanding workload
  • Excellent oral and written interpersonal and communication skills required
  • Problem solving skills
  • Proven ability to work efficiently and meet deadlines
  • Documents client assessments, activity, service plans and resolutions; prepares narrative and statistical reports.

Rachel Amarti

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