Clinical Care Coordinator

This is a full-time teleworking position with the expectation to be visiting clients in Baltimore City/County in Maryland.

The Coordinating Center (The Center) has 40 years of experience supporting children, youth, adults and seniors with complex medical needs and disabilities statewide. Deeply committed to a person-centered approach and philosophy, The Coordinating Center helps individuals of all ages and abilities access affordable and quality healthcare while achieving their aspirations for a meaningful 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 are looking for people who have a passion for helping others in your community, and who align with our mission, vision, and values as a nonprofit organization. If you are a registered nurse (RN) or licensed social worker (LMSW, LCSW-C) and have experience in case management/care coordination, home health, school nursing, or pediatrics, this might be the organization for you! We look for collaborative and creative minds, self-managing organizational skills, and the desire to challenge and grow professionally. Specific qualifications are:

• An active Maryland Social Work license (LMSW, LCSW-C) or Maryland Registered Nurse license (RN) is required.
• Two years of case management experience is required.
• Pediatric experience, preferred.
• Ability to obtain the CCM certification within two years of employment.

As a Clinical Care Coordinator, you will provide day-to-day care management and coordination services within the REM Program (Rare and Expensive Case Management). Your clients will be recipients of Medicaid, most of whom are under age 21, and have complex medical needs. Partnering with their family/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. This position requires a commitment to and culturally competent approach to Diversity, Equity, Inclusion and Belonging.

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.