Clinical Care Coordinator

This is a full-time teleworking position, with the expectation of visiting clients regularly in Prince George's County area + provider visits in surrounding counties.

The Coordinating Center (The Center) has more than 40 years of experience supporting children, youth, adults and seniors living with complex medical needs and/or disabilities statewide. Deeply committed to a person-centered approach and philosophy, The Coordinating Center helps individuals of all ages and abilities achieve optimal quality health, affordable healthcare, and a meaningful community life. Over the past four decades, we have become an industry expert in the delivery of person-centered, community-based care coordination services and population health.

We look for candidates who align with our mission, vision, and values as a human services’ nonprofit organization. We look for collaborative and creative minds, self-managing organizational skills, and the desire to challenge and grow professionally. If you are a registered nurse (RN) and have experience in case management/care coordination, home health, school nursing, or pediatrics, this might be the organization for you! Specific qualifications are:

• An active RN license in Maryland.
• At least two years of case management experience.
• Pediatric experience is strongly preferred.

As a Clinical Care Coordinator, you will provide day-to-day care management and coordination services within the Model Waiver Program. Partnering with families and caregivers, you will work directly with clients on creating an individualized plan of care with goals to help them remain independent in the community setting of their choice. This position is a hybrid of teleworking and client visits in the community setting including client homes, facility settings, school/day programs, and hospitals.

As a Clinical Care Coordinator, you will:

• →Facilitate the development of individualized client Care Management Plans, ensuring the inclusion of client/caregiver input.
• →Locate, coordinate, and navigate medical services and other home and community-based services for medically complex children and adults with disabilities and comorbid conditions inclusive of individuals experiencing financial, housing and resource instability.
• →Research and recommend cost-effective alternatives to care, as appropriate.
• →Engage the case management process and best practices to guide client service delivery to include assessments, documentation, planning, implementation, education, advocacy, and evaluation.
• →Evaluate actual outcomes, as well as desired outcomes and adjust Care Management Plan interventions accordingly to maximize health and goal achievement potential.
• →Facilitate communication between community-based providers, insurance carriers, the multidisciplinary team and supports required by the client.
• →Coordinate quarterly on-site visitations as well as convening and attending multidisciplinary team meetings, and maintaining periodic, regular contact with clients and other members of the health care team.
• →Complete timely documentation of care management activities in multiple electronic databases, maintaining confidentiality of PHI in all settings.
• →All Clinical Care Coordinators are required to obtain their CCM certification within two years.