Beneficiary Assessment Coordinator

Job Title

WA Cares Beneficiary Assessment Coordinator

Position Summary

This position is responsible for coordinating eligibility and assessments for WA Cares Beneficiaries in need of long-term care. Key responsibilities include conducting in-depth assessments, assisting with applications, providing referrals to local and state programs, building community partnerships, and managing program information. The role requires strong knowledge of long-term care, social service networks, and computer skills. 

Duties and Responsibilities

As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally aware services. 

Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:

• Understanding and empathizing with client needs
• Surpassing client expectations
• Demonstrating a high level of integrity
• Exhibiting compassion and commitment
• Advocating for social justice
• Taking pride in individual work as well as that of the team
• Continually learning to stay current with industry standards, best practices, and technology

As a Sea Mar employee, the individual in this position commits to adhering to these values to the utmost of their ability and endeavors to strengthen and embody this mission daily.

The following is a list of duties and responsibilities for the coordinator:

WA Cares Beneficiary Coordination

• Participate in team phone calls or meetings to anticipate the beneficiaries’ clinical, social, and behavioral health needs.
• Work with the WA Cares team to identify gaps in care and work to resolve them using process improvement strategies.
• Provide information to enable beneficiaries to age in place, with services like in-home personal care, home modifications, home-delivered meals, and more.
•  Connect patients to Sea Mar and non-Sea Mar resources as appropriate and track all resources available to patients. These services may include, but are not limited to, insurance enrollment, preventive health services, behavioral health, dental, and care management.
• Assist beneficiaries with ongoing self-management goal setting based on mutual goal setting and with emphasis on client decision-making utilizing motivational interviewing skills.
• Follow up with beneficiaries to evaluate their condition and address barriers to the care plan.
• Disseminate information regarding the services provided to the beneficiaries to improve their quality of life for their physical, mental, and emotional well-being while participating in the WA Cares Program.
• Exhibit excellent customer service skills by using active listening skills, greeting clients in a welcoming manner, making them their only priority when providing services, and assisting in meeting their needs.
• Other duties as assigned by the Director.

Quality Improvement

• Ensure accurate and timely assessments. Work with other staff to guarantee that all assessments are completed accurately and within the required timeframe.
• Conduct record reviews to ensure that assessments, service plans, and case documentation are complete and accurate.
• Manage the assignment of cases and workload distribution to ensure efficiency and equitable distribution of work.
• Participate in inviting clients to set up their Follow My Health account and provide brief information about its benefits.
• Other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work independently, prioritize workload, and meet deadlines.
• Must have critical thinking skills and maintain confidentiality.
• Excellent organizational skills and ability to handle a variety of tasks simultaneously.
• Knowledge of medical terminology and/or behavioral health topics.
• Strong decision-making and prioritization skills.
• Ability to work respectfully and professionally with the community, clients, families, and staff.
• Able to work effectively in a multi-cultural environment with a diverse population.
• Sympathetic, mature, responsible, and reliable.
• Strong client engagement, interpersonal, and communication skills, and ability to establish a therapeutic relationship with the beneficiary.

Knowledge, Skills, and Abilities

• Knowledge of and proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to utilize and document relevant client information in the WA State Get Care database..
• Knowledge of community resources.
• Ability to work in a fast-paced community health care setting.
• Ability to think analytically and problem solve in a multidisciplinary team and independently.
• Ability to deal effectively with difficult people and situations.
• Ability to communicate effectively with diverse communities.
• Ability to manage time effectively and prioritize tasks.
• Ability to identify client learning needs and to assess client's knowledge, skill level, and readiness for learning.
• Ability to maintain the privacy and security of sensitive and confidential information in all formats, including verbal, written, and electronic, and adhere to policies and procedures related to local, state, and federal privacy requirements.
• Excellent communication and customer service skills.
• Critical thinking skills.
• Ability to understand and implement process improvement activities.
• Bilingual in Spanish required. Other language skills may be considered depending on site needs due to the population that is being served.

Reasoning Ability

• Must be able to work independently, have good problem-solving skills, and be open to change processes.

Education, Certificates, Licenses, and Registrations

• BA in social services or related field and two years of paid or volunteer experience providing
  direct human services or two years of relevant college-level courses and four years paid or
  volunteer experience providing direct human services.
• Social Services experience preferred.
• This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
• Valid WA State Driver’s License and proof of liability insurance.

Medical Screening Requirements

• Pre-hire and annual employee health screening required.
• Annual influenza vaccine required. The only exception is for employees with a medical or religious exemption approved by the Administration. Employees with an approved medical or religious exemption must wear a mask at all times during the flu season.
• COVID-19 Vaccination is a mandatory condition of employment.

Work Environment

This position entails sitting and working at a computer for long periods, working in a shared space with ambient noise and other distractions, and other conditions typical of an office environment. While performing the duties of this job, this employee is regularly required to communicate by telephone. This position also requires driving to beneficiaries' homes or other locations to meet with clients. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Physical Requirements

While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee frequently is required to walk, stand and stoop and occasionally required to kneel, crouch or crawl. The employee must be able to lift and/or move up to 20 plus pounds. Specific vision abilities required by this job include close, distance, color and peripheral vision including the ability to have depth perception and adjust focus.

Supervision

This position has no supervisory responsibilities. This position will be supervised by the Director of Home and Community Services.