Job Description

The Care Coach assesses and evaluates client member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach work assignments are often straightforward and of moderate complexity.

Responsibilities:

• Visit Medicaid members in facilities (ex: Health and Rehabilitation Centers) and other care settings – 75-90% local travel
• Assesses and evaluates member's needs and requirements in order to establish a member specific care plan
• Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being
• Planning and implementing interventions to meet those needs
• Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals
• Guides members/families towards resources appropriate for their care
• Services are driven by facilitating interactions with other payer sources, providers,
• interdisciplinary teams and others involved in the member’s care as appropriate and required by our comprehensive contract

Requirements:

• Bilingual in Spanish and English
• Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems
• Experience conducting assessments to determine an individual’s needs
• Experience coordinating services and resources for individuals
• Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.

Must meet one of the below education/experience requirements:

• Bachelor’s degree in social work, sociology, psychology, gerontology, or a related field + 2 years of relevant experience.
• Master’s degree in a relevant field may count up to 1 year of experience from internships or clinical work.
• Registered Nurse (RN) licensed in FL + 2 years of experience.
• Licensed Practical Nurse (LPN) licensed in FL + 4 years of experience.

Preferred Qualifications:

• 701B Certification
• Medication application (RFA) experience
• Prior experience with Medicare & Medicaid recipients
• Prior nursing home diversion or long term care case management experience
• Experience working with geriatric population
• Experience with health promotion, coaching and wellness
• Knowledge of community health and social service agencies and additional community resources

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