Integrated Care Specialist (Non-certified MA)

• Explain services available and focus on engagement of client to access services.

• Completes health screenings, bio-metrics, and facilitates outside referrals as directed by care team.

• Participates in team meeting to develop a plan of care to address client needs.

• Assists clients in navigating the healthcare environment to ensure access to appropriate care.

• Advocates on client’s behalf with healthcare providers and managed care organizations to ensure timely care.

• Assists with coordination/access to services that address social determinants of healthcare outcomes:

• Assist with options for  transportation to healthcare appointments, when needed

• Identifies other needs, when necessary, that ensure access to healthcare

• Assists in obtaining access to housing (search for housing, applications, financial assistance, communication with landlord), as necessary, when housing status destabilizes health status and presents a barrier to receiving appropriate healthcare.

• Assists with access to other community resources e.g., public assistance and financial benefits.

• Develops knowledge base of other healthcare providers in the service area and collaborate, as needed

• Documents tracking for appointments, medication, and other healthcare needs for assigned clients, as needed

• Provides education and support wellness activities such as such as healthy eating, physical activity, and healthy behaviors

• Provides caring contacts to clients estimated to be at high risk for suicide to ensure continuity of care.

• Collaborates with client, family/significant others to develop support networks.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

• High school diploma or equivalent is required.
• Certification as a Medical Assistant is preferred.

• One year of experience in a hospital, physician office, or behavioral care clinic with certification.
• Two years of experience in a hospital, physician office, or behavioral care clinic without certification.
• Experience in community setting or integrated care environment

• Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing
• Possible exposure to the threat of bodily harm from clients or families.
• Normal tasks may involve exposure to blood, bodily fluids, or tissue.  
• Reliable transportation for frequent travel. 

Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focused on customer service responsiveness, with a continuous quality improvement orientation.  Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.