Integrated Care Coordinator

Join our team today! 

$20.61 - $23.70 hourly

• Limitless Growth and Career Advancement Opportunities: Thrive with us through diverse career paths and internal development programs.
• Career Development: Access ongoing training and development through our dedicated Organizational Development & Learning Department.
• Generous PTO Program: Enjoy up to 3 weeks off in your first year, with continuous accruals and an additional PTO day for Employee Well-Being.
• Paid Holidays: Celebrate 9 paid holidays annually.
• Wellness Program: Benefit from our expert Health Coach services and wellness incentives to reduce costs.
• Tuition Reimbursement: Receive up to $3,000 for educational advancement.
• Affordable Health Care Plans: Choose from comprehensive Medical, Vision, and Dental plans.
• Flexible Spending Accounts: Utilize H.S.A., H.R.A, and F.S.A. options with select medical plans.
• Insurance Coverage: Enjoy free Short-Term Disability, Long-Term Disability, and Life/AD&D Insurance up to $100,000.
• Retirement Savings: Benefit from 403(b) retirement plans with a company match.
• Employee Assistance: Access 6 free coaching and 6 free therapy sessions, plus a wealth of wellness content and services.
• Additional Insurance Options: Aetna Medical, Delta Dental, Eyemed vision, Pet Insurance, Additional Life/AD&D Insurance, and more!Join us and be part of a team that values your professional growth and personal well-being!

Who We Need

We’re looking for a full-time, Integrated Care Coordinator, with the following skills, experience and credentials:

• Works as a core member of an integrated care team that involves the member’s primary care provider, psychiatrist, case coordinators, care managers, and other healthcare providers and ancillary staff, with a focus on management of individuals identified on the High-Risk Registry, and individuals with more complex conditions who are not progressing as expected.
• Carries a caseload comprised of individuals who are frequent utilizers of inpatient and emergency department settings and others with more complicated care needs as determined by the Population Health Department, treating BHMP and/or PCP.
• Serves as an added resource to the assigned primary case manager to facilitate individual engagement and follow-up in care, understand and implement post-discharge/post-visit medical orders and to coordinate more specialized post-discharge/post-visit placements (including medical specialists, skilled nursing centers, home health, and residential settings).
• Coordinates with the Copa Health Care Management Staff in identifying potential causes of high utilization and assists the Integrated Care Team in designing and modifying interventions to address the issues identified.
• Monitors members (in person and by telephone) for changes in clinical symptoms and treatment side
• effects or complications and communicates back to the team.
• Supports medication management prescribed by the BHMP or PCP, focusing on treatment adherence, side effects and other complications, and effectiveness of treatment within their scope of practice.
• Participates in regularly scheduled caseload consultation with the Integrated Care Team and ensures coordination and communication with involved specialty providers and inpatient/institutional settings.
• Track member follow‐up, gaps in care and clinical outcomes using the NextGen EHR and other population health tools.
• Documents in person and telephone encounters in the EMR and uses the system to identify and re-engage members who may be lost to follow‐
• In collaboration with the assigned primary case manager, facilitates assessment and treatment plan changes for members who are not improving as expected in consultation with the Integrated Care Team. These may include c