Integrated Care Specialist

Job Description:

ESSENTIAL JOB FUNCTIONS

Explain services available and focus on engagement of client to access services.

• •Completes health screenings, bio-metrics, and facilitates outside referrals as directed by care team.
• •Participates in team meeting to develop a plan of care to address client needs.
• •Assists clients in navigating the healthcare environment to ensure access to appropriate care.
• •Advocates on client’s behalf with healthcare providers and managed care organizations to ensure timely care.
• •Assists with coordination/access to services that address social determinants of healthcare outcomes:
• •Assist with options for transportation to healthcare appointments, when needed
• •Identifies other needs, when necessary, that ensure access to healthcare
• •Assists in obtaining access to housing (search for housing, applications, financial assistance, communication with landlord), as necessary, when housing status destabilizes health status and presents a barrier to receiving appropriate healthcare.
• •Assists with access to other community resources e.g., public assistance and financial benefits.

• •Develops knowledge base of other healthcare providers in the service area and collaborate, as needed
• •Documents tracking for appointments, medication, and other healthcare needs for assigned clients, as needed
• •Provides education and support wellness activities such as such as healthy eating, physical activity, and healthy behaviors
• •Provides caring contacts to clients estimated to be at high risk for suicide to ensure continuity of care.
• •Collaborates with client, family/significant others to develop support networks.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

EDUCATION

• •A high school diploma or equivalent is required.
• •Certification as a Medical Assistant is preferred.

EXPERIENCE

• •One year of experience in a hospital, physician office, or behavioral care clinic with certification.
• •Two years of experience in a hospital, physician office, or behavioral care clinic without certification.
• •Experience in community setting or integrated care environment

PHYSICAL DEMANDS

• •Position may require lifting of 20 pounds maximum, with frequent lifting or carrying of items weighing up to 10 pounds, or requires significant periods of walking or standing
• •Possible exposure to the threat of bodily harm from clients or families.
• •Normal tasks may involve exposure to blood, bodily fluids, or tissue.
• •Reliable transportation for frequent travel.

Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focused on customer service responsiveness, with a continuous quality improvement orientation. Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.

Time Type:

Full time