Adult Care Coordinator

Job Description

Job Description

The Adult Care Coordinator conducts and schedules assessments, referrals, advocacy and supports, counseling, education of patients and enrollees and care team members assuring the patient receives quality services to maintain optimum healthcare needs without barriers. The Coordinator adheres to and promotes the philosophy and missions of the company by performing the following duties and responsibilities.

Duties and Responsibilities :

• Responsible for outreach and engagement to formally enroll referred adults into the care management program.
• Conducts assessments, evaluates needs, establishes and maintains care plan and maintains referrals for enrollees. Assures supports are in place inclusive of peer and family contacts.
• Develops Interim Plan of Care based on preliminary clinical information and assigned level that will identify linkages and services immediately required, based on information received from referral sources if applicable.
• Ensures all initial linkages are established and maintained.
• Collaborates with all services providers and establishes team communication plan.
• Monitors goals on a continuing basis and that team is communicating.
• Monitors that care plan is relevant to health home policies and procedures.
• Consults with family members and social supports to maintain support consistency.
• Advocates for additional services and linkages as appropriate.
• Maintains current care management documentation and information regarding care management activities within the required health IT system.

Education / Experience :