Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!

Position Summary: The Care Coordinator requires independent decision making skills to effectively work with program participants using the triple aim model to reduce systems fragmentation and address the social determinants of health.

Responsibilities include:

• Manage a case load of program participants using a multi-disciplinary, multi- sector model.

• Integrate the bio psychosocial (medical, behavior health and social) approach into a comprehensive patient care planning process.

• Assess behavioral health and patient engagement utilizing departmental assessment tools.

• Incorporate all information obtained from assessments and establish a plan of care that will ensure outcomes that result in the participants increased engagement in their health care, establishment of a medical home, access to medication, decreased inappropriate use of the emergency room for non-emergent care and linkage to all the social supports necessary to manage the participant’s health care needs.

• Demonstrate the ability to work collaboratively with community and health care partners in planning wrap around services including but not limited to health education, food insecurities, housing and employment.

• All interactions require an exemplary level of core customer service skills and competency.

• Document using the approved software in a timely and effective manner adhering to policies and procedures related to HIPAA.

• Participate and engage in outreach activities within the community.

• Attend and participate in Care Coordinator and Department staff meetings.

• Facilitate case staffing.

• Other duties as assigned - Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee partner for this job. Duties, responsibilities and activities may change at any time with or without notice .

NOTE : Will be required to transport participants to healthcare appointments, as needed, utilizing TCCN departmental vehicle.

Qualifications

Education:

Bachelors Degree Social work or related Human Service Field Required.

Masters degree preferred.

Experience/Qualifications:

• A minimum of (3) years’ experience in a human service setting required.

Special Skills:

• Proficient communication skills, both oral and written required.

• Proficient PC skills and experience of Windows and Microsoft office programs required.

Other:

• Valid and in good standing South Carolina drivers license required.

• Personal transportation to be able to visit various “work locations” throughout the region required including home visits required.

• Ability to work weekends and attend evening events as needed

Acceptance into the position of Community Care Coordinator requires per the job description, proof of acceptance into a Bachelor degree educational program, and requires completion of the Bachelor program and proof of obtainment within 18 months of hire/transfer date.

Physical Requirements : Light Physical Agility Test (PAT) Rating

While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

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.

Works in a variety of settings throughout the community requiring travel from one destination to another using personal transportation. Days and hours of work are set by the department director based on the needs of the system and are subject to change at any time but position exercises considerable independent judgment and decision making skills and operates in an exempt fashion.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.