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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination and community health, with a strong focus on member engagement, goal achievement, and effective use of electronic health records and scheduling platforms. Proficient in applying Motivational Interviewing and Trauma Informed Care principles to support members in navigating their care plans.
Highest-signal resume keywords
Care CoordinationMotivational InterviewingTrauma Informed CareElectronic Health Record SystemsHigh Volume Caseload Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan DevelopmentBehavioral Health AssessmentData CollectionDocumentationScheduling Platforms
Soft Skills
Problem SolvingAdaptabilityCollaborationCreative SolutionsGrowth Mentality
Tools & Technologies
Electronic Health RecordCare Facilitation PlatformsVirtual Visit Platforms
Certifications & Qualifications
Bachelor's DegreeValid Unrestricted Driver's License
Industry Keywords
Community HealthHealth PromotionPreventative CareSocial NeedsCare Coordination Needs
About the role
Key responsibilities & impact- Receive members from engagement and care teams
- Describe program expectations and goals to members
- Complete assessment and screening instruments, including for behavioral health disorders, following protocols
- Collaborate with RN Care Manager to determine need for member placement in a different program
- Partner with the RN Care Manager to develop members’ care plans
- Incorporate quality opportunities in care plans
- Support members in achieving their care plan goals
- Bring preliminary goals and identified resources to members to address social and care coordination needs
- Work with members to address goals in care plans and coach to completion
- Focus on members’ goals, risk mitigation, call-us-first emphasis, provider engagement, and addressing social needs
- Participate in case conferences
- Conduct ongoing check-ins with members regarding care coordination needs and care plan progress
- Activate members around preventative care topics and goal progress
- Provide routine non-clinical education on preventative care topics
- Address and respond to member needs and delegate tasks in a timely fashion
- Meet with members in the community, including home, SNF, shelter, or hospital, as needed
- Complete screenings for emerging needs
- Refer members to the care team if clinical interventions are needed
- Support loop closure on internal referrals
- Use care facilitation, electronic health record, and scheduling platforms to collect data, document member interactions, organize information, track tasks, and communicate with teams, members, and community resources
Requirements
What you’ll need- 2+ years of progressive experience in care coordination, community health, health promotion, or a related field
- Experience with High Volume Caseload
- Unrestricted Driver’s License and vehicle for daily use
- Proficiency using technology to support members with and without in-person contact (telephone and text etiquette, virtual visit platforms, etc.)
- Ability to learn and use scheduling platforms to ensure accurate appointment scheduling and management
- Ability to learn and use electronic health record systems and/or care facilitation platforms to ensure accurate documentation
- Proficient in collecting member clinical and demographic data and documenting appropriately in a timely manner
- Versed in Motivational Interviewing and Trauma Informed Care principles
- Strong problem solving skills - can make difficult decisions and knows when to collaborate with other team members
- Able to provide creative solutions to challenges within the healthcare system that are impeding optimization of members’ care and health
- Growth and learning mentality, ability to think outside the box, go outside the bounds of “traditional” responsibilities
- Adaptable to change and prepared for frequent, fast-paced changes and shifting priorities
- Bachelors Degree
- Valid Unrestricted Drivers License required
- Medical clearance requirements, including evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or an approved medical or religious accommodation
Benefits
Comp & perks- Health insurance
- Life insurance
- Retirement benefits
- Participation in the company’s equity program
- Paid time off, including vacation and sick leave