Care Coordinator

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.

You will function as a coordinator of care for members identified as having long-term rehabilitation and/or psychosocial needs due to birth defects, chronic conditions, illness, or injury.

Responsibilities

• Control comprehensive management of members with acute or chronic conditions, including case management activities focusing on quality of care, compliance, outcomes, and cost reduction.
• Implement initial and periodic assessments of members enrolled in the Long-Term Care Program and/or case or disease management programs under limited supervision to determine the course of treatment.
• Apply in-depth knowledge of case management concepts, principles, and strategies to develop individualized case plans for enrolled members in case or disease management who are at risk of poor outcomes.
• Communicate updates and facilitate discussions with providers, primary care physicians, Medical Directors, pharmacists, and care management staff regarding patient status.
• Identify opportunities to ensure members receive necessary care within their benefit plan in home or community settings.
• Provide information, resources, and education on social issues, mental health, and available services to raise awareness and empower individuals and communities.
• Develop complex programs to reduce admissions for acute and chronic members, increase community integration, and improve health outcomes for enrolled patients and outside individuals.
• Coach junior colleagues in social work techniques, processes, and responsibilities.
• Collaborate with community members, organizations, and policymakers to create opportunities for clients, address community issues, or raise awareness for specific issues.

Requirements

• Minimum 2 years of experience in medical social work or case management.
• Comply with all state requirements in the state where job duties are performed.
• Willingness to travel up to 25-50% of the time in Wayne and Macomb Counties, with reliable transportation.
• Basic awareness of problem-solving and decision-making skills.
• Basic awareness of digital literacy skills.
• Basic knowledge of medical terminology.
• Ability to deal tactfully with customers and the community.
• Ability to handle sensitive information ethically and responsibly.
• Ability to consider the relative costs and benefits of potential actions.
• Ability to function in a clinical setting with diverse cultural dynamics.

Preferred Qualifications

• Behavioral health experience.
• Bilingual in Spanish or Arabic.

Education/Licensure Requirements

• Bachelor's Degree in Social Work as required by state law.
• LLBSW, LBSW, LLMSW.

Benefits

• Comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.