Care Worker

Responsibilities

• Facilitates department workflow by supporting clinical team with various care coordination workflows.

• Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.

Essential Functions

• Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion

• Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found.

• Researches availability of community services in order to link members to appropriate services.

• Assists in transitions in care for hospitalized patients and makes appropriate placements as needed.

• Assumes responsibility for self-development and career progression.

• Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.

• Assists in the mentoring and training of new Care Workers.

• Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers

• Coordinates and manages distribution of correspondence and materials to enrollees and providers

• Participates in operational activities, including data collection, tracking, and analysis.