Become a part of our caring community and help us put health first
 

The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Service Coordinator work assignments are often straightforward and of moderate complexity.

This role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes.  

Responsibilities include: 

• Administer initial and ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches. 

• Contacts members both telephonically and/or in-person to establish goals and priorities, evaluate resources, develop plan of care and identify LTSS providers and community partnerships to provide a combination of services and supports that best meet the needs and goals of member and caregiver through person centered thinking approaches. 

• Development and continuous modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.) 

• Support members through navigation of their LTSS and related environmental and social needs Utilize available information pertaining to member to prevent the need for administration of duplicative assessments. 

• Focuses on supporting members and/or caregivers in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. 

• Assisting members in maintaining Medicaid eligibility 

• Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery and support positive member outcomes. 

Use your skills to make an impact
 

Required Qualifications 

Service Coordinators (Care Coach 1) shall meet one of the following qualifications: 

• Individual continuously employed as a care manager by an Area Agencies of Aging since June 30, 2018; OR  

• Unrestricted Licensed Registered nurse, a licensed practical nurse, or an associate’s degree in nursing with at least one (1) year of experience serving the program population (license in the state of Indiana and in the bordering state of residence: MI, KY, IL, OH); OR  

• Bachelor's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience; OR   

• Bachelor’s degree in any field with a minimum of two (2) years full-time, direct service experience with older adults or persons with disabilities (this experience includes assessment, care plan development, and monitoring); OR   

• Master's degree in Social Work, Psychology, Counseling, Gerontology, Nursing or Health & Human Services with at least (2) years of experience; OR   

• Associate’s degree in any field with a minimum of four (4) years full-time, direct service experience wi