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) by integrating health services and community resources to improve health outcomes and quality of life for individuals with complex needs.
Role type
Senior IC Community Care Coordinator (Duals Integrated Care)
Builds
Individualized care plans and seamless care transitions for dual-eligible members
Domain
Healthcare + Social Services (Dual-eligible/Medicaid-Medicare)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care coordination, case management, interdisciplinary team collaboration, comprehensive needs assessment, care plan development, community resource navigation, chronic condition management, data collection and analysis, advocacy, health education
Preferred skills
Prior experience with dual-eligible populations, Medicaid/Medicare managed care experience, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Engage with members in community settings to establish care relationships; function as a liaison between providers, resources, and beneficiaries; conduct assessments of physical, mental, and social needs; develop and implement individualized care plans; lead 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
Senior, hands-on IC
