RN Care Coordinator- ACC

The Care Coordination Program (CCP) at HealthCare Access Maryland (HCAM), is an outreach program that provides short-term care coordination services to Baltimore City Residents. The Care Coordination Program assists Medicaid/HealthChoice eligible beneficiaries in accessing, using, and maximizing their Medicaid benefits. The CCP multidisciplinary team educates clients about health benefits, link residents to primary care and specialty services, work to improve birth outcomes in Baltimore City with innovative prenatal outreach strategies and strive to protect our city’s most vulnerable populations by providing access to health services and community resources.

Licensed Register Nurse Care Coordinator will provide short term care coordination services to individuals and families. The Registered Nurse Care Coordinator will be responsible for developing, facilitating services, and partnering with community resources to address the needs of an assigned population. To provide support and expertise through assessment, planning, implementation and overall evaluation of the individual client needs.

DUTIES and RESPONSIBILITIES:

1. Perform as a Team Lead responsible hosting team meetings with outreach staff members to discuss complex cases, best practices, and sharing of resources.

2. Receive and outreach referred clients that have identified medically or psychosocially complex needs. Provide education of Medicaid benefits and services, re-connect recipients to medical home, Managed Care Organization, and linkage to covered benefits.

3. Assess prenatal/postpartum client risk and eligibility for referral and enrollment into B’More for Healthy Babies Centralized Intake services including WIC, home visiting programs, parenting support groups and Safe Sleep.

4. Provide appropriate resource linkage to MCO incentive programs and case management, Medical Assistance Transportation.

5. Consult with other community agencies to identify potential resources for resolving client’s health, psychosocial or financial problems.

6. Deploy various methods for locating referred clients that are difficult to locate; establishing liaisons with DSS, PCP’s, neighbors, churches, and other community groups.

7. Function as a liaison to external agencies and shares information with others, which may impact care and/or services of clients and referral services.

8. Participates in staff, community, professional and inter-agency meetings and conferences.

9. Documents client assessments, activity, service plans and resolutions; prepares narrative and statistical reports.

10. Perform other appropriate duties as assigned.

MINIMUM QUALIFICATIONS

• · A Bachelor’s degree in nursing from an accredited college or university.
• · Current licensure as a Registered Nurse in the State of Maryland.
• · A minimum of one year related experience
• · Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting.

KNOWLEDGE, SKILLS and ABILITIES:

• · Strong computer literacy skills, specifically with MS Word, Excel, Outlook, and SharePoint (365).
• · Organizational skills with the ability to meet a demanding workload.
• · Excellent oral and written interpersonal and communication skills required.
• · Problem solving skills.
• · Proven ability to work efficiently and meet deadlines.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk 3 blocks or more and sit for prolonged periods of time. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

In compliance with Maryland's wage transparency requirements, the compensation for this position includes a base pay range of $74,740.00 per year. Additionally, the benefits package includes vacation, sick, personal, and mental health leave, a 401(k) retirement plan with employer match, medical, dental, life, short-term and long-term disability insurance, company-paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.