This is a full-time teleworking position, with the expectation of visiting clients regularly in Baltimore City, Baltimore County, and Harford County.

Who We Are

The Coordinating Center (The Center) has more than 40 years of experience supporting children, youth, adults and seniors living with complex medical needs and/or disabilities statewide. Deeply committed to a person-centered approach and philosophy, The Coordinating Center helps individuals of all ages and abilities achieve optimal quality health, affordable healthcare, and a meaningful community life. Over the past four decades, we have become an industry expert in the delivery of person-centered, community-based care coordination services and population health.

Who You Are

We look for candidates who align with our mission, vision, and values as a human services’ nonprofit organization. We look for collaborative and creative minds, self-managing organizational skills, and the desire to challenge and grow professionally. If you are a registered nurse (RN) and have experience in case management/care coordination, home health, school nursing, or pediatrics, this might be the organization for you! Specific qualifications are:

• An active RN license in Maryland.
• Minimum of two years’ experience in pediatric nursing or pediatric complex care required.
• Experience in health care case management of pediatric and adult populations with complex medical needs preferred.

What You Will Do

The Clinical Care Coordinator is a registered nurse who, as part of the multidisciplinary team, provides day-to day care management services, as determined by individualized care management plan, to a given number of the Center’s program recipients (clients). Clinical Care Coordinators practice according to the definition of case management and ethical statements guiding case management practice as determined by The Case Management Society of America, accreditation, and state licensure requirements.

Clinical Care Coordinators collaborate with other members of the multidisciplinary team and are required to travel throughout the state of Maryland to visit clients in their homes, health care facilities, schools, and other residential facilities. This position is part of a program team and reports directly to the Program Director. This position works closely with other Clinical Care Coordinators, Care Coordination Associates, and other members of the multidisciplinary team

As a Clinical Care Coordinator, you will:

• Manage a caseload target of 35-40 Level 1 clients who require routine contact at least monthly, quarterly site visits every 3 months, and Model Waiver Review Meetings at least every 180 days.
• Locate, coordinate, and navigate medical services and other home and community-based services for medically complex children and adults with disabilities and comorbid conditions inclusive of individuals experiencing financial, housing and resource instability.
• Engage the case management process and best practices to guide client service delivery to include assessment, documentation, planning, implementation, education, advocacy, and evaluation.
• Coordinate the admission and discharge of clients from care management services.
• Coordinate and leads required interdisciplinary care planning meetings involving, but not limited to, clients, family members, healthcare providers, nursing service agencies, and durable medical equipment (DME) providers to review health outcomes, discuss care plan progress, address emerging needs, and ensure appropriate referrals and service delivery.
• Develop and monitor clinical plans of care to include all medical diagnoses, interventions, medications, nutritional needs and supplements, as well as all DME/DMS and services are provided by both primary insurance and Medicaid.
• Remain abreast of contract, accreditation, and regulatory requirements.
• Monitor the provision of on-going services and cost effectiveness of care and recommends changes to the client’s Plan of Care as needed.
• Evaluate actual outcomes, as well as desired outcomes and adjust Care Management Plan interventions accordingly to maximize health and goal achievement potential.
• Research and recommend cost effective alternatives to care, as appropriate.
• Complete timely documentation of care management activities in The Center’s Care Management Information System (CMIS) and other systems, as required by the contract/care delivery model. Maintain confidentiality of Personal Health Information in all settings per organizational policy.
• Manage complex coordination of benefits cases involving out-of-state providers, including verification of Medicaid eligibility, primary insurance coverage, prior authorizations, and reimbursement requirements to support continuity of care.
• Facilitate proper coordination of benefits between commercial insurance, Medicare, and Medicaid by collaborating with beneficiaries, providers, and third-party payers to maximize available benefits and maintain compliance with Medicaid payer-of-last-resort requirements.
• Maintain ongoing direct communication with key external stakeholders at Maryland Department of Health, healthcare providers, and community organizations to coordinate care, resolve barriers to service delivery, facilitate access to benefits, and advocate for participant needs.
• Facilitate meetings between the multidisciplinary team and the client/family, translating complex medical information, concepts, and terminology from providers (e.g., physicians, nursing services, DME vendors) into plain language the family can understand, and conveying the family’s questions, concerns, preferences, and needs back to the team, so that the client’s needs within the community are accurately and effectively represented to providers.

Why Join Us

The salary for this position is $70,000 and comes with all of our full time benefits. This position requires the CCM certification within two years of employment, with a $1500 stipend upon completion. Candidates who already have their CCM would have a salary of $72,000.

• The Coordinating Center is proud to offer a comprehensive and award-winning benefits package including medical, dental, vision, matching 403b, and short term/long term disability options. We offer 11 paid holidays, a winter break, and generous PTO accrual.
• A work laptop, cellphone, home office stipend, and mileage reimbursement is provided.
• We have been named a USA Today Top Workplace award winning organization for three years in a row!
• We facilitate ongoing conversations about professional development opportunities and invest in our coworkers by providing funds to use for professional development, and funds for furthering education.
• We also encourage collaboration within our different councils and committees to get involved with other coworkers across the organization.\

The Center is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, arrest record, gender identity, genetic information, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, coworker activities and general treatment during employment. We believe we are stronger together. It’s what makes us exceptional in achieving our mission and drives us to deliver culturally competent and effective care coordination services.

To request a reasonable accommodation for the job application or interview process, please contact our HR team at hr@coordinatingcenter.org or 410-987-1048.