[Hiring] Maternity Care Coordinator @CareSource

Role Description

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.

• Telephonically engage and enroll members in the Mom and Baby Beginnings program.
• Engage the member and complete a health and psychosocial survey, considering cultural and linguistic needs.
• 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.
• Look for ways to improve the process to enhance the member experience with CareSource and share with leadership.
• Work closely with a member’s 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 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 the process.
• Monitor and evaluate Person-Centered care plan on an ongoing basis through member, family, provider, and stakeholder contact.
• Assist with internal care coordination activities to support member outcomes.
• Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments.
• 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.

Qualifications

• 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.

Requirements

• 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.

Benefits

• Compensation Range: $47,400.00 - $76,000.00.
• 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.

Working Conditions

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

Licensure and Certification

• None.

Company Description

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.