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The Clinical Care Coordinator is a licensed healthcare professional and a vital member of a multidisciplinary team, providing comprehensive, client- and family-centered care management services. This role supports individuals with disabilities and complex healthcare needs through individualized plans of care that promote care coordination, continuity, quality outcomes, and community inclusion. Guided by Medicalincs’ mission and core values, the Clinical Care Coordinator manages an assigned caseload in accordance with the Case Management Society of America (CMSA) definition of case management and ethical standards. The position might include monthly in-person visits across Maryland in client homes, nursing facilities, schools, and other residential or care settings, as well as regular collaboration with interdisciplinary team members.

Key Responsibilities & Competencies

• Facilitate admission to a discharge from care management services
• Apply the case management process to guide service delivery
• Develop and maintain individualized plans of care, including desired outcomes
• Coordinate services and supports to ensure plan implementation and compliance with contractual and regulatory requirements
• Monitor ongoing services, utilization, and cost-effectiveness; recommend plan modifications as needed
• Evaluate desired versus actual outcomes and document progress
• Identify and recommend cost-effective alternatives to care
• Serve as a clinical resource to community service providers
• Maintain ongoing communication with clients, families, and healthcare team members
• Convene, attend, and actively participate in multidisciplinary team meetings
• Deliver services through a combination of on-site visits and virtual/remote engagements
• Maintain accurate, timely, and complete care management records
• Document client interactions in the client database within 48 hours of contact
• Ensure compliance with HIPAA and all applicable professional standards

Qualifications

• Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or
• Master's degree in social work (MSW) with active LMSW or LCSW-C license
• Degree must be from an accredited college or university or equivalent education and experience
• CCM (Certified Case Manager) certification preferred; required within two years of hire
• Minimum three (3) years of professional experience in one or more of the following: Pediatric intensive care nursing, Ambulatory health care, Rehabilitation nursing, Clinical social work in a community-based setting with individuals with complex healthcare needs
• Demonstrated clinical competence and ability to work independently with minimal supervision
• Active state licensure and current malpractice insurance (maintained at all times)
• Maintenance of applicable professional certifications (e.g., CCM, RN, LCSW-C)
• Valid driver's license, reliable transportation, and proof of automobile insurance
• Ability to travel throughout Maryland
• Designated home office meeting all HIPAA requirements
• Ability to telework from a home-based office
• High-speed internet access
• Proficiency with Microsoft Office Suite (Word, Excel, Access, Outlook), databases, and remote communication/documentation tools
• Excellent organizational, prioritization, and interpersonal skills

Professional Expectations

The successful candidate will consistently demonstrate:

• A positive and collaborative attitude that supports the care management team
• Commitment to Medicalinc's mission, values, and person-centered, family-centered, and cultural competent care philosophy
• Engagement in continuous quality improvement within a collaborative governance model
• Flexibility and adaptability in a changing healthcare and regulatory environment
  

Physical Requirements

The physical demands listed here represent those required to perform the essential duties of the position:

• Regularly required to talk, hear, stand, walk, sit, and use hands and arms
• Frequently lifts and moves objects up to 10 pounds
• Vision abilities include close vision and the ability to adjust focus
• Required to travel to client homes, schools, physician offices, and healthcare facilities
• Required to document care activities on a laptop within established timeframes

Other Duties

This job description is not intended to be an exhaustive list of all duties, responsibilities, or activities required of the position. Duties may change at any time with or without notice.