Care Guide
Core
Coordinate care for members as a single point of contact for short-term needs, acting as a bridge between members, providers, and the Care Coordination Team to ensure health, wellness, and safety.
Role type
Care Guide (Clinical Care Coordination)
Builds
Short-term care coordination plans and transitions for members
Domain
Healthcare / Managed Care (Medicaid/Medicare)
Deliverable
client delivery
Required skills
Care coordination, clinical standards implementation, barrier identification, stakeholder collaboration, documentation, community resource navigation, post-discharge planning
Preferred skills
Medicaid/Medicare managed care experience, LPN license, allied health certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Engage with members in various settings (home, hospital, office) to establish relationships; identify and prioritize individual care needs; gather information to manage barriers to care; implement interventions based on clinical standards; educate members on treatment options and resources; collaborate with Care Managers for post-discharge planning; document care activities; evaluate client satisfaction and assist with grievances.
Seniority
Entry-level to Mid-level, hands-on IC