HealthCare Access Maryland
RN Care Coordinator/Team Lead
HealthCare Access Maryland, Baltimore, Maryland, United States, 21276
About HealthCare Access Maryland
HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.
Base Pay Range
$76,500.00/yr - $76,500.00/yr
Job Summary
Licensed Registered Nurse Care Coordinator will provide short‐term care coordination services to individuals and families utilizing MD Medicaid insurance. The RNCC will receive referrals, assess client needs, partner with Medicaid Managed Care Organizations, providers, public health and community resources, and lead a team to resolve complex medical conditions and needs.
Duties and Responsibilities
Participate in professional development opportunities that build effectiveness in client engagement, intervention, motivational interviewing, and trauma‐informed outreach strategies.
Participate in local, state meetings, conferences, community meetings.
Participate in city‑wide initiatives/groups/committees as applicable.
Consistent and timely communication with supervisor – RN Program Manager.
Perform as a Team Lead responsible for hosting team meetings with outreach staff to discuss complex cases, best practices, and share resources.
Initiate client outreach via telephone or home visit within 5‑10 days of receipt of a referral.
Outreach clients with medical or psychosocially complex needs. Assess and provide education of Medicaid benefits and services, re‑connect recipients to medical home, Managed Care Organization, and link to covered benefits.
Consult with other community agencies to identify potential resources for resolving social determinants of health needs.
Connect and collaborate with providers, hospitals, community‑based organizations, MCO case managers and other professionals to address and resolve client needs.
Care Coordination
Assess, triage, and refer clients to a variety of available resources to reduce barriers to wellness, including partners such as B’More for Healthy Babies, centralized intake, home visiting, WIC, Safe Sleep, and others. Appropriate MCO incentive programs and case management, medical assistance transportation.
Provide linkage and coordination to OB, MCO, pediatric or primary care, postpartum care, dental care, behavioral health, specialty care, and link to the Maryland Medical Care Programs as needed.
Maintain a monthly minimum success rate of 70%.
Maintain a monthly minimum on‑time case closure rate of 90%.
Documentation
Document all outreach activities according to standard operating procedures in the HCAM electronic medical database.
Document client assessments, activity, service plans and resolutions; prepare narrative and statistical reports.
Provide Service Response letters to referring entities at the time of case closure.
Human Resources
Complete and submit timesheets timely and accurately.
Complete all training courses required as assigned.
Additional Duties and Responsibilities
Additional duties as assigned.
Qualifications
Bachelor’s degree in Nursing from an accredited college or university.
Current licensure as a Registered Nurse in the State of Maryland.
A minimum of 2 years’ related experience.
Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting.
Knowledge, Skills & Abilities
Demonstrated knowledge in community outreach and Medicaid system navigation.
Demonstrated knowledge and experience working with HealthChoice Medicaid recipients and Managed Care Organizations.
Organizational and problem‑solving skills.
Strong knowledge of community resources.
Proven ability to work efficiently and meet deadlines.
Organizational skills with the ability to meet a demanding workload.
Excellent oral and written interpersonal and communication skills required.
Strong computer literacy skills, specifically with MS Word, Excel, Outlook and SharePoint (365).
Ability to work independently and as part of a team to achieve project success in outreaching clients identified for care coordination.
Compensation In compliance with Maryland’s wage transparency requirements, the compensation for this role has been included in the posting. The benefits package includes vacation, sick, personal, and mental health leave, a 401(k) retirement plan with employer match, medical, dental, life, short‑term and long‑term disability insurance, company‑paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.
EEO Statement HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.
Safety & Health Responsibilities HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. HCAM has developed safety, security and occupational health policies, practices, and standards. All employees are required to adhere to local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions; and participate in mandatory or available safety training.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
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HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.
Base Pay Range
$76,500.00/yr - $76,500.00/yr
Job Summary
Licensed Registered Nurse Care Coordinator will provide short‐term care coordination services to individuals and families utilizing MD Medicaid insurance. The RNCC will receive referrals, assess client needs, partner with Medicaid Managed Care Organizations, providers, public health and community resources, and lead a team to resolve complex medical conditions and needs.
Duties and Responsibilities
Participate in professional development opportunities that build effectiveness in client engagement, intervention, motivational interviewing, and trauma‐informed outreach strategies.
Participate in local, state meetings, conferences, community meetings.
Participate in city‑wide initiatives/groups/committees as applicable.
Consistent and timely communication with supervisor – RN Program Manager.
Perform as a Team Lead responsible for hosting team meetings with outreach staff to discuss complex cases, best practices, and share resources.
Initiate client outreach via telephone or home visit within 5‑10 days of receipt of a referral.
Outreach clients with medical or psychosocially complex needs. Assess and provide education of Medicaid benefits and services, re‑connect recipients to medical home, Managed Care Organization, and link to covered benefits.
Consult with other community agencies to identify potential resources for resolving social determinants of health needs.
Connect and collaborate with providers, hospitals, community‑based organizations, MCO case managers and other professionals to address and resolve client needs.
Care Coordination
Assess, triage, and refer clients to a variety of available resources to reduce barriers to wellness, including partners such as B’More for Healthy Babies, centralized intake, home visiting, WIC, Safe Sleep, and others. Appropriate MCO incentive programs and case management, medical assistance transportation.
Provide linkage and coordination to OB, MCO, pediatric or primary care, postpartum care, dental care, behavioral health, specialty care, and link to the Maryland Medical Care Programs as needed.
Maintain a monthly minimum success rate of 70%.
Maintain a monthly minimum on‑time case closure rate of 90%.
Documentation
Document all outreach activities according to standard operating procedures in the HCAM electronic medical database.
Document client assessments, activity, service plans and resolutions; prepare narrative and statistical reports.
Provide Service Response letters to referring entities at the time of case closure.
Human Resources
Complete and submit timesheets timely and accurately.
Complete all training courses required as assigned.
Additional Duties and Responsibilities
Additional duties as assigned.
Qualifications
Bachelor’s degree in Nursing from an accredited college or university.
Current licensure as a Registered Nurse in the State of Maryland.
A minimum of 2 years’ related experience.
Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting.
Knowledge, Skills & Abilities
Demonstrated knowledge in community outreach and Medicaid system navigation.
Demonstrated knowledge and experience working with HealthChoice Medicaid recipients and Managed Care Organizations.
Organizational and problem‑solving skills.
Strong knowledge of community resources.
Proven ability to work efficiently and meet deadlines.
Organizational skills with the ability to meet a demanding workload.
Excellent oral and written interpersonal and communication skills required.
Strong computer literacy skills, specifically with MS Word, Excel, Outlook and SharePoint (365).
Ability to work independently and as part of a team to achieve project success in outreaching clients identified for care coordination.
Compensation In compliance with Maryland’s wage transparency requirements, the compensation for this role has been included in the posting. The benefits package includes vacation, sick, personal, and mental health leave, a 401(k) retirement plan with employer match, medical, dental, life, short‑term and long‑term disability insurance, company‑paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.
EEO Statement HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.
Safety & Health Responsibilities HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. HCAM has developed safety, security and occupational health policies, practices, and standards. All employees are required to adhere to local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions; and participate in mandatory or available safety training.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
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