Essential Duties:
- Program Implementation and Coordination: Oversee the delivery of care coordination services, including guidance, training, and support to ensure high-quality, client-centered service delivery across programs.
- Care Coordination: Oversee and perform care management activities, including comprehensive client assessments, service planning, and resource coordination. Serve as a client advocate by contacting healthcare providers, community agencies, and other stakeholders to ensure client needs are met. Facilitate warm hand-offs to external service providers as needed, ensuring continuity of care.
- Information and Assistance: Provide information and assistance to older adults, adults with disabilities, and caregivers. Act as a knowledgeable resource for navigating available services and benefits.
- Resource Management: Collaborate with the VP of Integration to manage resources effectively, including tracking and overseeing flexible funding for client goods and services. Ensure efficient and equitable use of resources while maintaining accurate documentation of expenditures.
- Internal Coordination: Organize and lead regular multidisciplinary team meetings to discuss client statuses and promote accountability and alignment in client-centered care efforts. Coordinate communication and partnerships with internal teams to improve access to services and enhance service integration.
- Community and Partner Engagement: Engage regularly with funders and community partners, including attending meetings, preparing for site visits, and fostering relationships to support client access to services. Maintain information on available community services to provide accurate referrals.
- Data and Documentation Management: Maintain accurate and timely documentation of care coordination activities, including client assessments, care plans, follow-up actions, and communications with team members and stakeholders. Work closely with the data team to review and track client outcomes and trends. Complete and submit status reports per contractual obligations with funders, ensuring accuracy, timeliness, and alignment with reporting requirements.
- Quality Improvement: Monitor and evaluate care coordination processes to identify opportunities for improvement, ensuring optimal client outcomes, satisfaction, and alignment with organizational goals.
- Regulatory Compliance: Ensure all care coordination activities comply with applicable regulations, funding requirements, and organizational policies.
Core Competencies:
- Previous experience working with clients, either in care coordination, case management, or a related healthcare field.
- Strong communication, interpersonal and organizational skills.
- Knowledge of healthcare delivery systems, reimbursement mechanisms and regulatory requirements.
- Ability to work effectively in a fast-paced and dynamic healthcare environment.
- Strong leadership and team management skills. Adept influence management skills.
- Excellent communication and interpersonal skills.
- Proficient in healthcare IT systems and data analytics.
- Ability to work collaboratively in a multidisciplinary team environment.
- Strong problem-solving skills and ability to manage complex scenarios.
Education and Experience:
- Master’s degree in behavioral or health sciences and one year of paid on-the-job social service experience; or
- Bachelor’s degree in behavioral or health sciences and two years of paid on-the-job social service experience; or
- Bachelor’s degree and four years of paid on-the-job social service experience.
Work Environment:
- This hybrid position requires in-office days at our Georgetown office and may involve conducting in-person client assessments as needed.
- All staff are currently required to provide proof of full COVID-19 vaccination prior to hiring. The use of personal protective equipment to prevent exposure to COVID-19 may be required in the future should exposure warrant it.
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About Lifelong:
Lifelong is a community health organization committed to removing barriers to health with relentless compassion so that no one faces illness and injustice alone.
We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone can have the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support and connection to housing and other vital resources.
We are looking for passionate, dedicated people to join our talented team and make real, meaningful changes in the daily lives of those living with chronic and life-threatening illnesses in their community. Lifelong offers exceptional benefits, including paid time off, medical and dental coverage in addition to a balanced work-life integration.
Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Lifelong, we are dedicated to building a diverse, equitable, inclusive and authentic workplace, so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
EEO Statement:
Lifelong is committed to creating an accessible, supportive environment and experience that recognizes diversity and cultural competence as integral components of what we do.
We are an Equal Employment Opportunity Employer and as such, we do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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DISCLAIMER: INTENT AND FUNCTION OF JOB DESCRIPTIONS
Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. They are an integral part of a compensation system, effective performance review system, related promotion, transfer, layoff, etc. decisions.
All descriptions have been reviewed to illustrate the job functions and basic duties, in addition to peripheral tasks or that could generally be considered as other duties as assigned.
In no instance, however, should the duties, responsibilities and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills and abilities included have been determined to illustrate the minimal standards required to successfully perform the positions.
