Care Coordinator

Job Description: Job Title: Care Coordinator Location: Greenwood, IN Department: Integrated Care Services Employment Type: [Full-time/Part-time/Contractual/Temporary] Shift: [Days/Hours] EX: Monday - Friday 8:00 A.M. - 5:00 P.M. Job Summary: Are you passionate about helping individuals navigate the healthcare system and connecting patients with the services and resources they need to live healthier lives? Join our team as an Care Coordinator , where you’ll play an important role in coordinating behavioral health and primary care services through an integrated care team model. You’ll work closely with patients, families, healthcare providers, community partners, and internal service teams to identify barriers to care, coordinate services, promote wellness, and support positive health outcomes. The Integrated Care Coordinator will use patient data and health screenings to identify individuals who may benefit from additional support, develop and coordinate shared plans of care, facilitate referrals, assist with insurance and benefit navigation, and advocate for patient-centered healthcare decisions. The ideal candidate is organized, compassionate, detail-oriented, and comfortable working across multiple healthcare systems and electronic medical records. This role is an excellent opportunity for someone who enjoys building relationships and helping patients successfully navigate complex healthcare and social service systems. Position Perks & Benefits: ● 29 Days of PTO ● Eligibility for HRSA Loan Repayment eligibility requirements ● Employee benefits package - health, dental, vision, retirement, life, & more * ● Competitive 401(k) Retirement Savings Plan – up to 5% match for Part-Time and Full-Time employees ● Company-paid basic life insurance ● Emergency Medical Leave Program ● Flexible Spending Accounts – healthcare and dependent child-care ● Health & Wellness Program ● Employee Assistance Program (EAP) ● Employee Discount Program ● Mileage Reimbursement Key Responsibilities: ● Identify high-risk patients through data review, population health reports, and applicable screening tools and proactively engage patients in care. ● Administer, document, and maintain data from applicable behavioral health and primary care screenings. ● Complete comprehensive assessments of patients' medical and behavioral health needs, family support systems, and eligibility for available resources. ● Educate patients and families regarding diagnostic procedures, disease management, nutrition, health maintenance, wellness, and available healthcare resources. ● Provide patient education materials and communicate physician recommendations, instructions, and treatment information in an understandable manner. ● Participate in the development of shared plans of care with interdisciplinary team members and safely coordinate implementation of established care plans. ● Coordinate care between patients, families, primary care providers, behavioral health professionals, specialists, community organizations, and other internal and external partners. ● Schedule integrated care appointments, diagnostic procedures, and follow-up services in accordance with established protocols. ● Coordinate referrals to specialty providers and follow up to promote patient attendance, completion of recommended services, and timely return to care. ● Coordinate the exchange and retrieval of clinical information and test results between the organization and specialty providers. ● Support discharge planning and transitions of care to promote continuity and reduce gaps in services. ● Review and maintain patient records, charts, care plans, referrals, and other pertinent clinical information. ● Document patient interactions, care coordination activities, referrals, outcomes, and other required information accurately and within established timeframes. ● Enter and coordinate clinical and administrative data across multiple electronic medical record systems, databases, and tracking platforms. ● Respond to patient treatment-related telephone calls and appropriately triage or refer questions to the appropriate healthcare professional. ● Identify barriers to healthcare access and communicate concerns and needs effectively to the interdisciplinary care team. ● Advocate for patients by incorporating their preferences, goals, and desired healthcare choices into care coordination activities. ● Assist patients with navigating Medicaid, Medicare, Marketplace plans, and commercial insurance benefits and services. ● Maintain current knowledge of applicable healthcare coverage requirements, benefits, and available community resources. ● Promote health and wellness through patient education, disease management support, and connection to appropriate resources. ● Participate in community outreach activities, including public health fairs, educational events, and other organizational initiatives. ● Represent Adult & Child Health professionally and positively within the community. ● Maintain patient confidentiality and comply with HIPAA, privacy, security, infection control, and organizational policies and procedures. ● Collaborate with multidisciplinary team members to identify opportunities for improving patient outcomes, access to care, and service delivery. ● Monitor and follow up on patients requiring ongoing care coordination to promote engagement and continuity of services. ● Participate in quality improvement, data collection, and other initiatives designed to improve integrated care outcomes. ● Perform other duties as assigned by leadership. Education and/or Experience Qualifications: ● Bachelor's degree in Social Work (BSW) or a closely related healthcare, behavioral health, human services, or public health field is required. ● Certified Medical Assistant (CMA) or Licensed Practical Nurse (LPN) credential is preferred but not required. ● Three (3) years of experience in healthcare, behavioral health, care coordination, case management, patien