Care Coordinator - Oregon Staffing : Job Details

Salary Note: Bilingual candidates are eligible for an additional $1.50 Bilingual Differential. This Bilingual Differential is not included in the salary range above.

Position Summary: This position works with clients to develop a care plan that will lead to stability, self-sufficiency, and create conditions amenable to client self-management of their health. Care coordinators will participate on the team of providers, and may be the lead of that team. The role of the Care Coordinator includes assisting the client in accessing medical programs. This includes CAREAssist, Medicaid, and Medicare. Ongoing advocacy and support is provided to the client in order to maintain access to medical assistance programs, and minimize any break in access to medical care. This position will assist clients in accessing private and government social services to meet basic needs such as housing, transportation and food, as well as alcohol and drug programs, mental health services, vocational programs and SSI/SSDI. In addition, this position coordinates access to support services provided through the Ryan White Treatment Modernization Act.

Essential Functions and Responsibilities:

• Client Management: Carry an active caseload of eligible clients, providing direct one-on-one supportive case management services. Able to provide services in-person, over the phone and on a drop-in basis. Assist with coverage of services.
• Assessments & Planning: Conduct Ryan White intakes, comprehensive screenings, and goal planning to identify psychosocial needs and barriers to care. Develop individualized service plans based on assessments and available resources.
• Health Insurance Support: Assist clients in signing up for health insurance, including Medicare, Medicaid and CAREAssist.
• Coordination of Services: Work collaboratively with intake coordinators and medical case managers, providers, community partners to facilitate access to HIV care, social services, mental health services, and public benefits.
• Documentation: Maintain accurate and timely documentation of client interactions, placements, services provided, and progress updates in agency databases. Process and collect necessary eligibility documents including Authorization for Release of Information.
• Crisis Intervention: Respond to psychosocial crises and follow up.
• Referrals: Refer clients to local resources as needed and follow up.
• Community Engagement: Build partnerships with local service providers. Attend relevant community meetings and participate in ongoing training and professional development.
• Client Events: Assist with planning and attending client events on a monthly to quarterly basis. This includes shopping for food, cooking, and socializing with clients at events. Ability to attend events outside of normal business hours.
• Travel: Ability to travel to see clients in other community settings and provide home visits on occasion. Ability to transport clients on occasion.
• Standards: Comply with all applicable program standards, guidelines, laws and administrative rules.