Summary/Position Objectives:

Under direct supervision, works closely with Care Management (CM) team to provide short-term care coordination and connection to resources. Will work collaboratively to support program members to improve their health and general well-being through education and provision of coordination of care and services.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

What You'll Do:

• Provide administrative support to the members of the CM team.
• Collect data for Health Risk Assessments (HRA).
• Screen for eligibility and benefits.
• Identify members without a PCP and refer to Member Services.
• Screen members by priority for CM services and refer as appropriate.
• Perform transition of care duties to include, but not limited to, contacting the members’ PCP, Medical POA, or other medical providers for information pertaining to special needs.
• Document all encounters and contacts made on behalf of clients; complete and submit monthly reports; maintain comprehensive electronic member records.
• Motivate members to be active and engaged participants in their health and overall well-being.
• Provide educational promotion, member follow-up, arrange PCP visits, and perform care coordination under the direction of the Care Manager.
• Assist members in assessing health-related services, including but not limited to obtaining a medical home, providing instruction on appropriate use of the medical home, overcoming barriers to obtaining needed medical care, and/or social services.
• Perform tasks as directed by the CM team to promote member compliance, such as verifying appointments or obtaining medical records.
• Facilitates member access to community resources, including, but not limited to, finding housing, food, clothing, prenatal classes, parenting, and providers to each life skill, and relevant mental health services.
• Work collaboratively and effectively within a team. Establishes positive, supportive relationships with participants and provides feedback to other members of the team. Builds and maintains positive working relationships with members, providers, nurse care managers, social workers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds.

• Strong interpersonal, communication, and customer service skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Knowledge of community agencies and resources.
• Knowledge of medical terminology.
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Knowledge of transportation and other barriers to care that members may face.
• Ability to communicate medical information to health care professionals and members of the care management team.
• Computer Literate (Microsoft Office)

Education and Work Experience:

• High school diploma or equivalent
• 2+ years serving the Medicaid population, preferably in the MD/DC area.

EEOC Statement:

Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment.

As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive.

We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.