Who we are:
Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry.
We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide.
Our associates work hard, play hard, and give back. Meridian associates enjoy an exceptional experience and culture including special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities.
A Day in the Life of a Community Care Coordinator:
This position coordinates care for the waiver and non-waiver population. This position must work collaboratively with multidisciplinary care teams that may include: the member's PCP, specialists, social worker/behavioral health specialist and community resource contacts, while functioning with professional autonomy under the supervision of their manager. This position performs appropriate assessments, organizes, reviews and reports health and social information through member home visits and phone outreach, while demonstrating multicultural sensitivity and effective communication skills with members. This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education, while delivering culturally appropriate information regarding the availability of health and community resources that will reduce barriers to care. This position is field based.
Conduct complete, timely and accurate Health Risk Assessments (face-to-face)
Maintains ongoing caseload for regular outreach and maintains contractual compliance indicators
Develops and implements a personalized member centered plan of care
Develops and maintains relationships with providers and community resources and acts as an advocate for MHP members
Facilitate interdisciplinary care team (ICT) meetings with members and their identified support team
Navigate community support systems (utilize cultural and community resources) to assist member in reaching best possible healthcare outcome (transportation, interpreters, arranging provider appointments, etc.
Ensure referrals are addressed in a timely manner including member reminders
Completes post hospital discharge follow-up and coordination of care
Acts as a liaison and member advocate between the member/family, physician and facilities/agencies
Closely monitor members' medical history and any changes through initial screenings and comprehensive assessment
Maintains HIPAA standards and confidentiality of protected health information; and
Perform other duties as assigned
What you can bring to Meridian:
Current license (without restriction) to practice as a Registered Nurse in the designated State is required; or
Current license (without restriction) to practice as a Licensed Clinical Social Worker or Licensed Clinical Professional Counselor in the designated State is required; or
LPN with one year of program experience, which is defined as assessment, provision and/or authorization of formal services for the elderly; or
Must have a BSN, or have BA/BS degree in social science, social work or related field. One year of program experience, which is defined as assessment, provision and/or authorization of formal services for the elderly, may replace one year of college education up to and including 4 years of experience replacing a baccalaureate degree; o
Ability to possess a valid State of Illinois driver's license and to travel is required. Any MHP employee who uses a motor vehicle in the course of their duties representing MHP must be compliant with Illinois State Motor Vehicle laws and must follow the policy that pertains to Driver's License Requirements as a condition of employment.
Prior experience with Medicaid, Medicare, waiver population preferred
Must demonstrate customer-focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, members, and families with diverse opinions, values, and religious and cultural ideals.
Must also demonstrate the ability to work autonomously, follow through with delegated tasks and be directly accountable for deliverables.
Must have leadership qualities including time management, verbal and written communication skills, listening skills, problem solving and decision-making, priority setting, work delegation and work organization, as well as strong customer service focus, teamwork orientation and resourcefulness in problem solving.
Meet all training requirements as specified by 89 IL Admin Code 240.1440
What Meridian can offer you:
Our healthcare benefits include a variety of plans that are effective on the first day of employment for our new full-time team members.
Opportunity to work with the industry's leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.
Meridian offers 401k matching that is above the national average.
Full-time Meridian employees are eligible for tuition reimbursement towards Bachelor's or Master's degrees.
Meridian was named Detroit's #1 Fastest Growing Company by Crain's Magazine, so it is a great time to get involved with Meridian.
Equal Opportunity Employer