Community Based - Duals Integrated Care -Ohio Based - Licking, Defiance, Fayette, Richland, Crawford, Athens, Delaware, Ross, Scioto, Lawrence
Core
Coordinate care for dual-eligible beneficiaries (Medicare/Medicaid) in community settings to improve health outcomes and quality of life.
Role type
Senior IC Community Care Coordinator (Duals Integrated Care)
Builds
Individualized care plans and seamless care transitions for complex health needs
Domain
Healthcare / Social Services / Dual-Eligible Population
Required skills
Care coordination, Case management, Interdisciplinary team collaboration, Community resource navigation, Chronic disease management, Data analysis, Advocacy, Assessment, Care plan development, Medication adherence support
Preferred skills
Dual-eligible population experience, Medicaid/Medicare managed care experience, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Engage members in community settings to establish care relationships; Conduct comprehensive assessments of physical, mental, and social needs; Develop and implement individualized care plans; Collaborate with interdisciplinary care teams; Assist members in accessing housing, transportation, and social services; Monitor health status and care plan adherence; Follow up after hospitalizations to prevent readmissions; Advocate for member needs within the healthcare system.
Seniority
Mid-level, hands-on IC