CARE COORDINATOR JOB DESCRIPTION

Care coordination is a defined function within managed care and value-based care programs, where insurance authorization, Medicaid eligibility, and care-gap closure each require a dedicated owner. The Care Coordinator holds that ownership, translating clinical directives from physicians and multidisciplinary teams into scheduled services, documented outcomes, and closed referral loops. This is not a clinical licensure role, but its scope, which spans prior authorization for imaging, infusion, and specialist visits through follow-up after emergency department encounters, demands precise knowledge of payer rules and EHR documentation standards. Accountability is real: HEDIS measures performance, and SLA compliance for treatment scheduling is a direct output of this work.

As the Care Coordinator, you drive insurance authorization, patient outreach, and follow-up scheduling to ensure continuity of care across primary, specialty, and ancillary services within a managed care environment. You work under the direction of a Care Coordination Clinical Manager or Director, partnering daily with physicians, payer representatives, and clinic staff to meet quality benchmarks across multiple patient populations and payer contracts.

Career Impact: Hands-on experience managing prior authorizations, HEDIS measures, and value-based care workflows builds a credential set that opens doors to Care Coordination Supervisor, Utilization Review Analyst, and population health management roles.

Business Impact: Patients whose authorization gaps, missed preventive screens, and post-discharge follow-ups are actively managed by this role experience fewer care disruptions and better closure rates on clinical quality measures.

Growth Opportunity: Proficiency in multi-payer authorization environments and EMR-based quality reporting increases market value for roles in utilization management, payer contracting, and population health operations.

• Obtain and document insurance authorizations for physician visits, imaging, infusion therapy, rehabilitation, and surgery within payer-specified timeframes.
• Verify insurance eligibility and medical necessity, recording findings accurately in the electronic health record.
• Schedule initial health assessments and specialist follow-up appointments in compliance with managed care SLAs.
• Conduct telephonic outreach to patients with open care gaps, educating them on preventive health screens and clinical measures.
• Coordinate post-hospitalization and post-emergency department follow-up to ensure continuity of care across providers.
• Partner with the care team to close HEDIS and value-based care quality measures, updating completed screens in the EMR.
• Submit and track prior authorization requests directly with payors or third-party vendors, escalating denials promptly.
• Document all coordination activities, communications, and outcomes in the electronic health record within required timeframes.

• Bachelor's degree in public health, health administration, social services, or a related field, or equivalent work experience.
• 2 or more years of care coordination, case management, or medical office experience, with demonstrated knowledge of managed care payer processes.
• Working knowledge of insurance eligibility verification, prior authorization workflows, and medical necessity criteria.
• Familiarity with Medicaid, Medi-Cal, or other government-sponsored insurance programs and their coordination requirements.
• Proficiency in electronic health record documentation, with the ability to navigate multiple systems concurrently.
• Strong organizational and time management skills, with demonstrated ability to manage a high-volume caseload accurately.
• Effective written and verbal communication skills for interacting with patients, physicians, payers, and clinical staff.
• Ability to maintain compliance with HIPAA regulations and protect patient health information at all times.

• Medical Assistant certification or comparable clinical credential, supporting scope of practice within physician office settings.
• Experience with HEDIS quality measures or value-based care program reporting in an ambulatory or managed care environment.
• Bilingual proficiency in English and Spanish or another language that reflects the served patient population.
• Prior authorization or utilization review experience in oncology, infusion therapy, or specialty care settings.

• Prior authorization turnaround time, measured against payer-specific and department SLA thresholds.
• Care-gap closure rate per assigned patient panel, reflecting completion of outstanding preventive screens and clinical measures.
• Initial health assessment scheduling volume, targeting at minimum 1.5 appointments completed per business day.
• HEDIS measure performance rate across the managed patient population, tracked per value-based care program cycle.
• Authorization denial rate, indicating accuracy of eligibility verification and medical necessity documentation submitted.
• EHR documentation timeliness, measured as the percentage of coordination activities recorded within required timeframes.
• Typical tools: Electronic health record platforms (commonly Epic or Athenahealth); payer web portals and authorization management systems.

• Base Salary Range: $42,000 to $58,000 per year, depending on experience and market
• Bonus: Annual performance bonus of 3% to 6%, tied to quality measure outcomes
• Equity: Not typically offered at this level in healthcare organizations
• Health Benefits: Medical, dental, and vision coverage; employer contribution standard
• PTO: 15 to 20 days annually, plus observed federal holidays
• Common Perks: Continuing education reimbursement, EAP access, mileage reimbursement for clinic travel

Figures are estimates based on general US market benchmarks and may be outdated. Adjust based on location, company size, and seniority level.

Background checks, including criminal history and, where applicable, healthcare exclusion screening, are a condition of employment for this role. All qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected under federal, state, or local law. Reasonable accommodations are available to applicants and employees with disabilities upon request. Candidates must be authorized to work in the United States before the start of employment.

The Care Coordinator owns end-to-end care plan development and coordination for program participants, working with PCPs and multidisciplinary teams to address barriers to self-care, manage chronic illness, and facilitate post-hospitalization follow-up. Reporting to program leadership, the Care Coordinator supports health home requirements by producing accurate documentation and delivering crisis intervention that enables participants to achieve measurable health goals.

Key Responsibilities

• Provide care coordination services and outreach, engagement, and enrollment to assigned program participants as defined by program and health home requirements.
• Develop and assist in implementing care plans determined by goals and priorities of program participants, including reviewing care plans with program participants, identifying progress, and revising the plan as needed.
• Review new information and complex issues with PCP and multidisciplinary team and incorporate additional recommendations into care plan.
• Administer all standardized and required assessments.
• Work with participants to identify barriers to self-care and self-management, and assist in developing skill sets to address those barriers.
• Facilitate follow-up care after hospitalization or emergency room visit.
• Provide participants with necessary health education and materials, including resources on self-management of chronic illnesses.
• Produce and maintain thorough, accurate, and timely documentation.
• Maintain data, statistics, and other information and reports for timely and accurate submission.
• Provide crisis intervention, as necessary.

Required Qualifications

• Bachelor's degree in Social Work or a related field, or Master's degree in Social Work with 1 or more years of relevant experience.
• 2 or more years of relevant work experience with a Bachelor's degree required.
• Knowledge of Medicaid, Social Security, and other entitlements.
• Experience assisting with housing searches for low-income, mental health, or other special needs populations, including HRA 2010e applications.
• Experience working with Electronic Health Records.
• Proficiency in Microsoft Office Suite.
• Strong problem-solving, time management, attention to detail, and organizational skills.
• Good interpersonal, written, and verbal communication skills.

Embedded within a managed care setting, the Care Coordinator delivers specialty service care coordination to beneficiaries, ensuring continuity across all services and total care plan ownership. Working closely with healthcare providers, community resources, and social determinants programs, the Care Coordinator advances member health outcomes and supports conflict-free case management across ambulatory, diagnostic, and hospital services.

Core Functions

• Provide specialty service care coordination to beneficiaries.
• Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services.
• Responsible for the total care plan, encompassing all services and plans related to beneficiaries.
• Provide case management complying with Conflict Free Case Management rules.
• Provide health education and coaching to members tailored to issues identified within treatment and service plans.
• Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services.
• Assist members with social determinants of health, including access to exercise and healthy food.
• Promote activities focused on the health of a patient and their community, including outreach, quality improvement, and patient panel management.
• Coordinate community-based management of medication therapy.

Qualifications & Experience

• High school diploma or equivalent required.
• Bachelor's degree in social science or a health-related field preferred.
• 1 or more years of experience caring for developmentally or intellectually disabled or behavioral health clients, or experience in a Managed Care or healthcare organization.
• Strong interpersonal communication skills.
• Valid driver's license and automobile insurance required.

Reporting to leadership within the Care unit, the Care Coordinator implements tailored care plans for disability clients, managing rosters, supervising support workers, and ensuring compliant, high-quality service delivery across a growing home-care business. Partnering with clients, families, and internal teams, the Care Coordinator builds client capacity and community participation opportunities that directly support retention and service quality outcomes.

Primary Duties

• Provide end-to-end customer management and onboarding.
• Ensure all business activities comply with relevant legislation, codes of practice, guidelines, and ethical standards.
• Work within the Care unit to ensure all rosters are adequately filled.
• Manage support workers to ensure care is of a high standard.
• Act on and address all client feedback and concerns to ensure customer retention.

Skills & Qualifications

• Relevant Health or Community Care qualification or commensurate experience required.
• Experience working in the disability sector, particularly the home-care market.
• Exemplary client relationship management and sales skills.
• Strong organisational, problem-solving, and time-management skills, with outstanding attention to detail.
• Highly developed verbal and written communication skills.
• Committed to care, empathy, and anti-discriminatory practice.
• Current driver's licence required.

Sitting at the intersection of clinical operations and patient services, the Patient Care Coordinator facilitates infusion treatments for patients by scheduling appointments per medical directives, coordinating qualified personnel and pharmaceutical supplies, and liaising with pharmacies and reimbursement coordinators. Operating across prescribing physicians, clinic personnel, and pharmacy representatives, the Patient Care Coordinator shapes a seamless infusion experience that upholds treatment schedules and enables timely adverse event reporting.

Duties

• Schedule referred patients for infusions in accordance with treatment schedules in medical directives established by prescribing physicians.
• Ensure medical directives have all pertinent information and have been signed by the prescribing physician.
• Ensure patients are treated in accordance with prescribed medical directives.
• Document tracking log data as per guidelines.
• Coordinate qualified personnel and physicians to ensure adequate care during patient infusions.
• Coordinate with reimbursement coordinators and pharmacies to determine patient reimbursement status before scheduling appointments.
• Ensure infusion sites have recommended emergency medications and supplies.
• Provide prescribing physicians with an infusion feedback report within 48 hours of the infusion performed.
• Track expiry dates on medical directives and contact referring physicians to provide current directives.
• Report any adverse event, serious or non-serious, whether or not deemed drug-related.

Requirements

• Post-secondary diploma or degree in customer service or administration is an asset.
• Minimum 2 years of customer service experience in public or private settings.
• Experience coordinating client or patient services, including managing high-volume inquiries.
• Medical terminology knowledge and clinic experience.
• Computer literacy, including MS Office and the internet.
• Fluent in English, spoken and written, with French fluency an asset.
• Superior organizational and communication skills.

A key member of a regional care services team, the Care Coordinator delivers direct support to people with ALS and their families through home visits, resource facilitation, and monthly support group coordination across an assigned multi-county region. Collaborating across hospice agencies, hospitals, community organizations, and board volunteers, the Care Coordinator builds access to durable medical equipment, assistive technology, and community healthcare resources that enable individuals with ALS to sustain quality of life.

Functions

• Respond to patient and family inquiries for information on ALS or community resources.
• Plan, implement, and evaluate programs and services.
• Facilitate access to chapter service resources such as durable medical equipment, assistive technology, educational materials, and respite care resources.
• Provide home visits to people with ALS as needed.
• Advocate for individuals with ALS in accessing healthcare or community resources.
• Plan and facilitate monthly support group meetings as required.
• Provide in-service education programs to local hospice, home health agencies, hospitals, and skilled care facilities.
• Maintain updated information on ALS, ALS-specific research, patient care techniques, and equipment.
• Liaise with the chapter's board members, advisory council, and volunteers in the Care Region.
• Maintain records and files and provide reports as needed.

Experience & Qualifications

• Master's degree in Social Work preferred, with current Social Work license required.
• 5 or more years of hospice or nursing facility experience strongly preferred, with nursing or allied health professionals with similar experience considered.
• Knowledge of durable medical equipment, vendors, insurance reimbursement, and rehabilitation needs of people with progressive disability.
• Knowledge of ALS symptom management, treatment options, and community healthcare resources.
• Strong organizational, communication, and computer skills.
• Skill and experience in interviewing, counseling, and working with volunteers and students in a healthcare environment.
• Ability to maintain confidentiality, make decisions, resolve conflicts, and manage stress.
• Must own a personal vehicle and be willing to use it for business travel, with flexibility to work evenings, weekends, and travel as needed.

Seamless transitions from hospital to primary care depend on the Care Coordinator, who facilitates care transitions, schedules initial health assessments, and ensures Managed Care patients establish a medical home with a primary care provider within defined timelines. Based within a clinic care team environment, the Care Coordinator serves patients, providers, and Managed Care plans by identifying linguistic and transportation needs, processing referral follow-up, and delivering non-biased insurance assistance that supports equitable access to care.

Accountabilities

• Facilitate care transitions between hospitals and emergency departments for new and established patients and schedule follow-up appointments in a timely manner.
• Retrieve all relevant external correspondence and attach to the patient's Electronic Health Record for provider review.
• Facilitate establishment of Managed Care patients' medical home and care with a primary care provider within 90 to 120 days of the insurance coverage date.
• Schedule at least 1.5 initial health assessment appointments per business day.
• Identify linguistic needs and learning style preferences of patients, document needs appropriately, and assist in scheduling interpretive services.
• Identify transportation needs and facilitate transportation access when necessary.
• Perform thorough follow-up on referral orders from providers, maintaining timely and accurate documentation of all Care Coordinator efforts and outcomes.
• Assist clinic care team with questions related to Medi-Cal Managed Care patients and assist patients in navigating healthcare services.
• Provide non-biased insurance assistance to Managed Care patients, including modifying or selecting a Primary Care Provider, filing appeals and grievances, and liaising with Managed Care plans.

Position Requirements

• Bachelor's degree in public health or a social services-related field, or 3 years of closely related healthcare experience with a high school diploma or GED.
• At least 2 years of direct customer service experience.
• Experience providing case management or patient advocacy preferred.
• Bilingual in English and Spanish required.
• Valid driver's license with clean driving record required, with proof of liability and property damage insurance.

As the Care Coordinator, this role obtains and documents insurance authorizations and referrals for physician, imaging, rehabilitation, infusion, radiation oncology, and surgery services for both physician and facility settings, ensuring adherence to eligibility verification and financial clearance policies. The oncology authorization team relies on this work to maintain timely authorization status, protect patient access to scheduled treatments, and sustain positive relationships with payors, vendors, and clinical partners.

Activities

• Obtain and document all required insurance authorizations for professional and institutional facilities within applicable timeframes, noting place of service and effective dates.
• Notify Patient Access and patients promptly when eligibility is invalid or authorization cannot be obtained promptly.
• Verify insurance eligibility and medical necessity and document all applicable information.
• Manage financial clearance task list for cases requiring prior authorization and work directly with payors or third-party vendors to obtain authorizations.
• Document all conversations and communications with departments, payors, vendors, patients, and other representatives completely and accurately.
• Conduct all financial clearance activities professionally and maintain positive working relationships with all business partners.
• Reschedule patient visits, diagnostics, chemotherapy, radiation, rehabilitation, and surgery per department guidelines when authorization cannot be obtained.
• Process referrals and obtain authorizations for Primary Care offices referring patients to the department.

Knowledge, Skills & Abilities

• High school diploma or GED required.
• Experience in a provider setting obtaining authorizations or referrals from physicians and specialty practices.
• Knowledge of oncology, CPT codes, ICD-10 codes, MUE edits, payer authorization processes, and CMS medical necessity guidelines.
• Thorough knowledge of payer-specific insurance verification and authorization rules for institutional and professional facilities.
• Ability to read clinical documentation and provide additional information to insurance carriers.
• Strong time management, organizational, and multitasking skills required for a fast-paced environment.
• Effective communication skills with patients, physicians, insurance carriers, coders, and team members.

Care Coordinator delivers community-based coaching, home visits, and service coordination for children and families, working as part of a multidisciplinary team to develop and implement service plans that address life skills, behavioral needs, and social drivers of health. Success in the position means clients receive timely advocacy, accurate outcomes documentation, and effective linkage to community resources and government programs that reduce barriers to needed services.

Operational Focus

• Provide coaching to clients on a wide variety of life skills.
• Identify client needs and provide community referrals, coordinating services with other providers.
• Assist clinicians in providing appropriate services, including linkage, coaching, and skill-building.
• Develop and maintain effective communications with appropriate stakeholders.
• Establish and maintain rapport and effective working relationships with children and families, working cooperatively within community resources.
• Ensure accurate and timely completion of outcomes and reports required by the program.
• Develop and maintain knowledge of service standards and policies as stipulated by contract, licensing, and governing bodies.
• Advocate on behalf of clients with other agencies and government programs to help them receive needed services.
• Conduct regular home visits to determine client needs and provide training, guidance, and support to families.
• Participate as part of a multi-disciplinary team to develop and implement service plans.

Professional Experience

• Bachelor's degree in a human service field.
• 4 years of experience working with severely emotionally disturbed children and families under DMH or DCFS contracted oversight.
• 1 year of community-based direct service experience required.
• Knowledge of PHI confidentiality requirements and ability to maintain patient privacy in compliance with applicable regulations.
• Ability to handle confidential information and sustain performance quality improvement activities.
• Strong verbal and written communication skills.
• Sensitivity to cultural and socioeconomic characteristics of the service population.
• Spanish and English bilingual preferred.
• Ability to travel more than 50% of the time.
• Valid driver's license and state-required auto insurance required.

The Care Coordinator produces accurate scheduling, authorization follow-up, and telephonic outreach for patients across a clinical care setting, supporting eligibility verification, HIPAA compliance, and multi-system reporting. Collaborating with clinic and clinical staff, the Care Coordinator enables timely access to care by triaging incoming calls, coordinating appointments, and maintaining daily communication across departments to advance patient engagement goals.

Key Responsibilities

• Support telephonic outreach to patients and answer incoming calls, triaging appropriately and maintaining call queue awareness.
• Work assigned cases including patient outreach, education, service coordination, and visit scheduling.
• Use effective telephone communication skills, including call transfers, message handling, holds, and managing unintentional disconnects.
• Schedule new patient and follow-up visits appropriately.
• Submit and follow up on authorizations and perform eligibility verification and reconciliation.
• Generate reports from multiple systems and maintain daily communication with other departments.
• Stay in compliance with all HIPAA regulations and demonstrate understanding of medical terminology.
• Coordinate with clinic and clinical staff as needed and attend meetings as required.

Background & Experience

• High school diploma or GED required, with Medical Assistant Certificate preferred.
• 3 to 5 years of experience in a medical office setting.
• Knowledge of HIPAA regulations and medical terminology.
• Proficient in Microsoft Outlook and able to use computers and learn new software programs.
• Excellent documentation, multitasking, and prioritization skills.
• Strong interpersonal and written and verbal communication skills.
• Ability to work effectively across all levels of staff and management.
• Bilingual in Spanish or Armenian required.
• Ability to travel and attend professional meetings, conferences, trainings, and clinic sites.

Embedded within a primary care medical group, the Care Coordinator develops standardized operational workflows, conducts patient outreach on open clinical measures, and partners with physician offices to close gaps in care across multiple payers and patient populations. Working closely with an interdisciplinary team under the direction of the Care Coordination Clinical Manager, the Care Coordinator advances HEDIS quality benchmarks and value-based care program outcomes through accurate EMR documentation and health screen completion.

Core Functions

• Educate and train the Patient Care team on standardized operational workflows to close gaps in care and optimize quality metrics across value-based care programs.
• Partner with the Patient Care team to assist patients in completing health screens and addressing incomplete preventive care measures.
• Outreach to patients with open clinical measures to address them by telephone or by scheduling an office visit.
• Update completed preventive health screens and clinical measures in the EMR as needed.
• Communicate regularly with interdisciplinary team members to coordinate and update patient care.
• Maintain an accurate tracking log of outreached patients and the status of their preventive health screens and clinical measures.
• Participate in quality-driven initiatives and submit data to external agencies as directed by the Care Coordination Clinical Manager.
• Record patient care documentation in the medical record accurately and on time.

Minimum Qualifications

• Medical Assistant Certification from an accredited program.
• Current Basic Life Support certification.
• At least 5 years of experience as a Certified Medical Assistant.
• HEDIS Quality Measures experience.
• Expert computer literacy in electronic health record systems.
• Proficiency in Microsoft Word, Excel, and PowerPoint.
• Knowledge of medical terminology.
• Strong communication, customer service, and mentoring skills.
• Ability to self-motivate and work both independently and collaboratively.

Reporting to the lead coordinator or registered manager, the Care Coordinator refines the allocation and scheduling of care assistants across a home care service, managing rosters, processing referrals, and maintaining accurate electronic and handwritten records to support efficient, high-quality care delivery. Partnering with customers, families, and health and social care professionals, the Care Coordinator sustains service continuity and confidentiality while enabling an appropriate work-life balance across the care assistant workforce.

Primary Duties

• Liaise with the lead coordinator or registered manager to ensure sufficient care assistants with the right skills mix are recruited to meet business needs, and arrange cover for sickness, absenteeism, or holidays.
• Accept, allocate, and process new referrals for care and support promptly.
• Process changes to customers' care and support packages.
• Monitor the allocation of care assistants to maximise efficiency while supporting appropriate work-life balance, matching assistants to customers based on skills, preferences, and travel logistics.
• Distribute staff rotas weekly and participate in the out-of-hours emergency on-call rota as required.
• Maintain up-to-date electronic and handwritten records, record and monitor mileage, and ensure accidents and incidents are recorded, reported, and acted upon.
• Keep all customer and family information secure and confidential.
• Communicate with customers and their representatives about care and support, accounting for different communication needs and levels of understanding.

Required Qualifications

• Relevant health, social care, or administrative qualification or commensurate experience preferred.
• Good understanding of the needs of people requiring care and support.
• Strong organisational skills with a proven ability to plan and manage workloads effectively.
• Good administrative and IT skills with high accuracy and attention to detail, and ability to maintain clear written records.
• Ability to communicate clearly and build positive working relationships with customers, families, and health and social care professionals.
• Ability to think clearly under pressure and use initiative to solve problems independently or as part of a team.
• Self-motivated, reliable, and committed to anti-discriminatory care practice.

Sitting at the intersection of behavioral health care and community support services, the Care Coordinator creates person-centered recovery plans, assesses consumer needs across the continuum of treatment, and coordinates with internal and external providers to address housing, employment, and social drivers of health for individuals with severe persistent mental illness or substance use disorders. Operating across FQHCs, inpatient psychiatric facilities, community supports, and the Department of Veterans Affairs, the Care Coordinator manages collaborative referral relationships and electronic health record documentation that enable holistic, trauma-informed recovery outcomes.

Duties

• Create and enhance person and family-centered recovery plans identifying goals, objectives, strengths, and preferred involvement of natural supports.
• Assess consumer needs continually throughout the course of treatment.
• Assist with scheduling and completing all internal and external provider appointments.
• Assist with needs impacting social drivers of health, including housing, food, clothing, transportation, employment, and academic needs.
• Coordinate with internal and external providers to ensure a holistic approach to care across all areas of an individual's life, wants, goals, and treatment interventions.
• Document services in the electronic health record within 24 hours after services have occurred and maintain contact with individuals in service at least once every 90 days.
• Develop and maintain collaborative working relationships with external referral resources including FQHCs, inpatient psychiatric facilities, the Department of Veterans Affairs, and community supports.
• Maintain a list of community resources for successful external referrals and support individuals in strengthening natural supports.

Technical Qualifications

• Bachelor's degree in social work, psychology, criminal justice, or a related human services field required, with a master's degree in Psychology or Social Work preferred.
• Minimum 1 year of experience in behavioral health care working with individuals with severe persistent mental illness or substance use disorders.
• CPR, First Aid, SAMA, TB test, and required community behavioral health clinic trainings to be completed within the first year of hire.
• Knowledge of Social Drivers of Health, Trauma-Informed Recovery Planning, Harm Reduction, Motivational Interviewing, and Person-Centered Approaches to Care.
• Clinical skill for evaluating accuracy of clinical screening and providing appropriate clinical intervention, including recognizing and reporting side effects of psychoactive medications.
• Ability to successfully use an automated clinical record-keeping system.
• Intermediate proficiency in MS Excel, email, and word processing programs.
• Strong analytical, problem-solving, communication, and presentation skills with respect for confidentiality.
• Valid driver's license with liability insurance required, and must have an acceptable driving record.

A key member of a multidisciplinary early intervention team, the Care Coordinator develops Individualized Family Support Plans, conducts bio-psycho-social assessments, and coordinates referrals, evaluations, and team meetings for children and families accessing Early Intervention services. Collaborating across families, community agencies, and DOH-EIS program partners, the Care Coordinator guides families through the service delivery model and caseload management processes that enable developmentally appropriate outcomes for children with special needs.

Key Deliverables

• Adhere to all Department of Health Early Intervention Section and ESH guidelines.
• Coordinate referrals and complete intake with families.
• Participate as an evaluator and member of a multidisciplinary team that determines eligibility for Early Intervention services and supports children and families through the evaluation process.
• Conduct, interpret, and share information from Social Work or bio-psycho-social assessments.
• Facilitate the development of the Individualized Family Support Plan with the family and other team members.
• Assist the team and family in identifying, developing, and implementing measurable, developmentally appropriate outcomes and objectives.
• Support families in accessing services identified in the IFSP, link them to appropriate resources, and educate families on the service delivery model.
• Establish and maintain cooperative relationships with families and community agencies and act as the primary liaison for the program and family.
• Schedule, coordinate, and facilitate team meetings while encouraging parent participation.
• Manage and maintain caseload in accordance with DOH-EIS requirements and keep participant records per federal, state, and ESH standards.

Education & Experience

• Bachelor's degree in Social Work, Social Service, Education, or an equivalent field from an accredited program required.
• 1 or more years of professional social work experience.
• Experience in early intervention or working with children with special needs strongly preferred.
• Significant knowledge of developmental disabilities, ADA, and the Individuals with Disabilities Education Act guidelines.
• Knowledge of Microsoft Outlook, Word, and Excel.
• Ability to use standard office equipment and mobile devices.
• Strong verbal and written communication skills with ability to interact effectively at all levels.
• Ability to handle multiple tasks, adhere to timelines, and process urgent projects with attention to detail.
• Ability to work calmly with behavioral and health-related incidents and respond appropriately to emergencies.
• Physical ability to perform home visits including frequent bending, kneeling, floor sitting for up to 90 minutes, and occasional lifting of up to 50 lbs.