Medical Care Coordinator I

Hope Network Neuro Rehabilitation

Position Summary

The Medical Care Coordinator I serves as the central point of coordination for consumers throughout their rehabilitation journey, ensuring high-quality, patient-centered care from admission through discharge. This role partners with an interdisciplinary treatment team to develop, monitor, and adjust individualized treatment plans while coordinating communication between internal providers, families, physicians, insurance representatives, and funding sources. The Medical Care Coordinator advocates for consumers, facilitates timely transitions of care, and supports positive clinical and functional outcomes.

Key Responsibilities

Care Coordination & Case Management

• Coordinate all aspects of the consumer's treatment plan from admission through discharge.

• Facilitate a smooth intake process, ensuring all required assessments, documentation, physician orders, and treatment schedules are completed.

• Monitor consumer progress toward established treatment goals and proactively address barriers to successful outcomes.

• Coordinate medical appointments, transportation, follow-up care, prescriptions, and physician orders.

• Ensure discharge planning begins early and is coordinated with Social Work and community resources.

Interdisciplinary Team Collaboration

• Lead and coordinate communication among an interdisciplinary treatment team, including Psychiatry, Physiatry, Psychology, Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Recreational Therapy, and Social Work.

• Facilitate treatment planning meetings focused on measurable, functional, and outcome-driven goals.

• Escalate complex cases to program leadership when additional intervention or clinical review is needed.

• Coordinate internal referrals to additional Hope Network services as consumer needs evolve.

Consumer & Family Communication

• Serve as the primary point of contact for consumers, families, guardians, physicians, nurse case managers, insurance adjusters, and external providers.

• Provide timely updates regarding treatment progress, care plans, and discharge recommendations.

• Advocate for consumers while promoting positive relationships with families and external stakeholders.

• Address funding responsibilities, insurance limitations, and financial questions with consumers and families.

Documentation & Compliance

• Maintain accurate, timely, and complete medical records within the electronic medical record (EMR).

• Prepare clinical documentation including:

  • Treatment Plans

  • Periodic Reviews

  • Discharge Summaries

  • Letters of Medical Necessity

  • Funding extension requests

• Collect and report program outcome data as required.

Funding & Utilization Management

• Collaborate with Funding Specialists to understand insurance authorizations and funding parameters.

• Monitor treatment utilization to ensure services align with approved funding and clinical necessity.

• Understand reimbursement sources including:

  • Auto No-Fault

  • Commercial Insurance

  • Medicaid

  • Workers' Compensation

• Assist with resolving funding challenges while supporting appropriate patient care.

Quality & Program Oversight

• Monitor therapy schedules to ensure consumers receive prescribed services at appropriate frequencies.

• Identify quality concerns and collaborate with program leadership to resolve issues.

• Support continuous improvement initiatives through effective communication, documentation, and outcome monitoring.

Qualifications

Education

• Bachelor's degree in Human Services, Social Work, Psychology, or related field with two years of case management experience OR

• Master's degree in a related field with less than two years of case management experience.

• Preferred Licensure:

  • LLBSW

  • LBSW

  • LLMSW

  • LMSW

Preferred Skills

• At least two years of experience in a health/human service field with an emphasis in rehabilitation.

• Case management and care coordination experience.

• Strong interdisciplinary collaboration skills.

• Excellent written and verbal communication.

• Ability to build relationships with healthcare professionals, families, insurers, and community partners.

• Strong organizational, time management, and problem-solving abilities.

• Knowledge of rehabilitation services, medical terminology, and healthcare funding sources.

• Experience working within electronic medical record (EMR) systems.

• Ability to work independently while managing multiple priorities.

Additional Requirements

• Valid driver's license with an acceptable driving record.

• Ability to effectively support Hope Network's mission and values.

• Strong attention to detail and commitment to delivering high-quality, consumer-focused care.