Intensive Care Coordinator

Intensive Care Coordinator at AllCare Health

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.

Summary of the Position: This position is responsible for identifying social determinants of health needs for all AllCare Medicaid, Medicare, and Medicare dual eligible members of all ages, assisting in navigating the community-based network of services, providing benefit education, facilitating communication between the member and their providers, and assisting in member development of a self-management plan by performing the following duties.

Essential Duties: Assessment, planning, implementing, coordinating and requesting services required to meet member's health care needs to ensure timely access to medical, behavioral health, and community services and to ensure that all services are provided within HIPAA guidelines. Acts as an advocate for members in problem resolution and facilitates collaboration with the interdisciplinary care team (ICT) in order to assist members to develop a knowledge base that will allow self-reliance. Conducts thorough planning to determine and document specific objectives, goals, and actions to meet the member's identified needs, including re-evaluation of the individualized care plan (ICP).

Job Duties:

• Assumes responsibility for a mixed acuity case load.
• Conducts engagement activities and provides benefit information to members including those with mental health, physical health, and oral health care needs.
• Facilitates consents and gathers clinical information.
• Acts as a key liaison in keeping lines of communication open between members, the ICT, provider, behavioral health, chemical dependency vendor, and/or DHS caseworker.
• Refers members and collaborates with internal staff from the Enrollment, Member Services, Utilization Management, and Quality Management Departments.
• Facilitates communication and coordinates community support and social service systems to ensure continuity of services.
• Ensures accurate and complete Care Management System documentation.
• Provides care coordination in a variety of settings as the need dictates (i.e., in the office, provider offices, other healthcare facilities, and member homes).
• Develops and maintains a strong information base of community resources.
• Demonstrates boundaries regarding confidentiality and personal relationships.
• Assesses member learning style and develops teaching approaches appropriate to reading and comprehension skills.
• Helps members choose actions that will bring goals and objectives to completion in a timely manner.
• Collaborates with providers of care to ensure appropriate access to services and follow up on the results of referrals.
• Assists as needed in quality initiatives for the department.
• Coordinates care needs for the Dual Special Needs Population (DSNP) member to ensure compliance with the Special Needs Model of Care (SNP MOC).
• Prepares for and participates in all required DSNP trainings, education, and member audits.
• Participates in initial, annual, and ongoing trainings.
• Acts as preceptor during the onboarding of new hire employees.
• Works collaboratively in a team environment with a spirit of cooperation.
• Respectfully takes direction from care coordination leaders.
• Meets all required training including those listed in Relias Learning Module System (LMS).
• Maintains punctual, regular and predictable attendance.
• Works collaboratively in a team environment with a spirit of cooperation.
• Other duties as assigned.

On Call Responsibilities: This position requires on-call responsibilities. During on call shifts, this role is either waiting to be engaged or in an engaged state. Schedules are provided in varying formats to ensure qualified personnel is available during our business requirements, for each area of responsibility. Required on call times may change throughout the year depending on business needs.

Supervisory Responsibilities: This position does not have any supervisory responsibilities.

Clinical Supervision: This position receives clinical supervision from an assigned clinician. Supervision needs will be evaluated based on clinical experience and performance.

Job Requirements: May require the use of personal vehicle for local travel (subject to mileage reimbursement).

Qualifications: Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Education: High school diploma or general education degree (GED).

Experience: Six months to one-year related experience and/or training in related field is required. Working knowledge of the Oregon Health Plan and Medicare with special attention to the rules and policies affecting members with disabilities and members age 65 and over.

Certificates, Licenses, and/or Registrations:

• Valid Oregon Driver's License and vehicle insurance.
• Mental Health First Aid Certification or willing to become certified within 90 days of hire.
• Traditional Health Worker certification through OHA is preferred (Requires NPI number).

Technical Skills:

• Familiarity with the Healthcare industry.
• Excellent organization and time-management skills.
• Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
• Knowledge of and compliance with HIPAA regulations.
• Knowledge of the widespread impact of trauma and paths for recovery
• Knowledge of the Oregon Health Plan and Medicare with special attention to the rules and policies affecting members with disabilities and members age 65 and over.

Interpersonal Skills:

• Demonstrate accountability, inspiring trust and confidence from others.
• Self-resolve most conflicts or misunderstandings with minimal need for direct supervision.
• Work with high initiative, energy and effectiveness in a fast-past environment.
• Effectively and professionally communicate with team members and customers.
• Collaborate within a multidisciplinary, diverse team to provide professional service.
• Interact positively with customers to satisfy needs and resolve problems in a pleasant and professional manner.
• Prioritize and organize work according to competing timelines.
• Allocate your time so that you can complete tasks within established deadlines.
• Adapt to change, learn quickly, and work with ambiguity.
• Use creativity and resourcefulness to solve new problems.
• Cope and self-manage during stressful situations.
• Maintain an attentive and empathetic demeanor.
• Maintain a high degree of professionalism and confidentiality.
• Effectively work with people with mental illness and from diverse backgrounds and experiences.
• Provide respectful and understanding service to customers within a multicultural environment.
• Create a pleasant experience for all customers, such as being personable and attentive.
• Meet timelines for goals safely and with high level of quality.
• Negotiate, consider many viewpoints and settle differences quickly.
• Make decisions independently in accordance with established policies and procedures.
• Seek out information to learn more about our environment and community.
• Commit to being culturally aware.

All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education.

Bilingual Skills: Bilingual in English/Spanish is preferred for this position. Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.

Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Computer Skills: Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.

Reasoning Ability: Ability to solve practical problems and work with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret