About the Role
As part of a care management team who will manage complex members, the Integrated Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical and/or behavioral health needs. Care coordination activities will focus on supporting members’ medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
Work Schedule: Monday through Friday 8:00 am to 5:00 pm
Location: Marion County, Indiana
Local travel up to 75% and mileage is reimbursed at current government rate. If you live within the state of Indiana and can travel to Marion County IN, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs
Engage members face-to-face and/or telephonically to complete comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural and socioeconomic (SDoH) needs
Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person’s readiness to change to support the best health and quality of life outcomes by meeting the members where they are
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide referrals and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
Required Qualifications:
Care Coordinators shall be located in Indiana and licensed as applicable in Indiana.
Care Coordinators must be
an Indiana licensed registered nurse or
an Indiana licensed Master’s degree in social work or therapist,
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience with MS Office, including Word, Excel and Outlook
1+ years of experience in long term support services or working with older adults
Ability to travel 75% of the time within assigned territory to meet with members and providers
Access to reliable transportation & valid US driver's license
Preferred Qualifications:
Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience working in team-based care
Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
Background in Managed Care
Bilingual in Spanish or other language specific to market populations
Physical Requirements
Ability to transition from office to field locations multiple times per day
Ability to navigate multiple locations/terrains to visit employees, members and/or providers
Ability to remain stationary for long periods of time to complete computer or tablet work duties
About the Company
RepuCare is a certified woman-owned business with over 30 years of experience delivering high-quality healthcare and professional staffing solutions. We are committed to operational excellence and improving outcomes through compassionate, compliant, and client-focused services.
We are currently seeking a Integrated Care Coordinator - Field Based in Marion County to support clinical operations.