Care Coordinator The Care Coordinator coordinates quality services for individuals receiving Medicaid Waiver and Medicaid Home Health services at the same time. Serves as a liaison among individuals, families, guardians, case managers, nurses, DSPs, home health aides, providers, and community resources to promote continuity of care. Coordinates services, monitors individual needs, facilitates care team communication, maintains required documentation, and supports compliance with applicable program requirements and LEL policies and procedures.
Key Responsibilities - Coordinate Medicaid Waiver and Medicaid Home Health services to ensure continuity, appropriate service delivery, and quality outcomes.
- Serve as a primary liaison among individuals, families, guardians, case managers, nurses, DSPs, home health aides, healthcare providers, and other members of the care team.
- Coordinate referrals, admissions, assessments, authorizations, appointments, care transitions, hospital discharges, and changes in condition or service needs.
- Monitor individual needs, goals, health and safety concerns, service delivery, and potential gaps in care; communicate and escalate concerns as appropriate.
- Coordinate with case managers and healthcare providers regarding service plans, plans of care, physician orders, assessments, and required documentation.
- Maintain accurate, timely, and complete records and support compliance with Medicaid Waiver, Medicaid Home Health, HIPAA, and LEL requirements.
- Review documentation for completeness and follow up on missing or outstanding information needed to support services and reimbursement.
- Participate in care coordination, IST, case conference, and other meetings as assigned.
- Support quality assurance activities, including complaints, incidents, changes in status, and service concerns.
- Provide professional customer service and assist individuals and families in navigating healthcare, waivers, and community resources.
- Maintain effective relationships with referral sources, case managers, healthcare providers, individuals, families, and community partners.
- Perform other duties as assigned.
Qualifications:
- Must be knowledgeable of Medicaid Waiver and Medicaid Home Health services and requirements.
- Understanding of care coordination and continuity-of-care practices.
- Knowledge of healthcare terminology and clinical documentation.
- Ability to understand service plans, care plans, assessments, physician orders, and related documentation.
- Strong organizational and time-management skills.
- Strong attention to detail and follow-through.
- Excellent written and verbal communication skills.
- Strong interpersonal and relationship-building skills.
- Strong problem-solving and critical-thinking skills.
- Ability to prioritize multiple individuals, referrals, deadlines, and responsibilities.
- Ability to work independently while maintaining effective communication with leadership and the care team.
- Proficiency with electronic health records, Microsoft Office, and other electronic documentation systems.
- Ability to maintain strict confidentiality and handle sensitive information appropriately.
LEL Home Services is an Equal Opportunity Employer. We are committed to fostering, cultivating, and preserving a culture of diversity, equality, and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
|