Care Coordinator a provider-based clinician or other trained individual who is employed or contracted by the Contractor or an Enrollee’s PCP. The Care Coordinator is accountable for providing care coordination activities, which include assuring appropriate referrals and timely two-way transmission of useful patient information; obtaining reliable and timely information about services other than those provided by the PCP; participating in the Enrollee’s Comprehensive Assessment, if any; and supporting safe transitions in care for Enrollees moving between settings in accordance with the Contractor’s Transitional Care Management program. The Care Coordinator may serve on one or more care teams, coordinates and facilitates meetings, and other activities of those care teams.
Care Coordinator. The individual who has primary responsibility for performance of care coordination activities for a TennCare Covered Person receiving Long-Term Services and Supports as specified in this Appendix and meets the qualifications specified in the CRA.
Care Coordinator. An individual who is responsible for managing all activities performed by the Interdisciplinary Care Team (ICT) for Enrollees who are not receiving long-term services and supports (LTSS) and are otherwise not identified as being at high-risk.
Care Coordinator. An employee or delegated subcontractor of the Demonstration Plan who provides Care Management, and together with an Enrollee and care team, establishes a Care Plan for the Enrollee and, through interaction with network Providers, ensures the Enrollee receives necessary services.
Care Coordinator. 2.5.4.4.1. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-compliance with training by the Care Coordinators. The Care Coordinator must:
2.5.4.4.1.1. Act as the single point of contact for an Enrollee to the Contractor and the ICT;
2.5.4.4.1.2. Be a provider-based clinician or other trained professional; or
2.5.4.4.1.3. Be an individual employed or contracted by the Contractor or the Enrollee’s PCP who is trained in providing care coordination to persons with disabilities;
2.5.4.4.1.4. As a member of the ICT, execute the following responsibilities:
2.5.4.4.1.4.1. Participating in Comprehensive Assessments for care planning;
2.5.4.4.1.4.2. Ensuring that ICT meetings and conference calls are held periodically;
2.5.4.4.1.4.3. Monitoring the provision of services, including outcomes, assessing appropriate changes or additions to services, and making necessary referrals, as needed, for the Enrollee; and
2.5.4.4.1.4.4. Ensuring that appropriate mechanisms are in place to receive Enrollee input, Complaints, and Grievances, and secure communication among relevant parties.
Care Coordinator. Wrap OC Provider Agency staff, responsible for facilitating the Wrap OC Child and Family Team (Wrap CFT) meetings and guiding the evolution of a Plan of Care (POC) to ensure that it’s family-centered and effective in safely transitioning and/or maintaining Participant to the least-restrictive family setting with minimal reliance on formal support systems.
Care Coordinator. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-compliance with training by the Care Coordinators. The Care Coordinator must:
a. Act as the single point of contact for an Enrollee to the Contractor and the ICT;
b. Be a provider-based clinician or other trained professional; or
c. Be an individual employed or contracted by the Contractor or the Enrollee’s Primary Care Provider who is trained in providing care coordination to persons with disabilities;
d. As a member of the ICT, execute the following responsibilities:
(1) Participating in Comprehensive Assessments for care planning;
(2) Ensuring that ICT meetings and conference calls are held periodically;
(3) Monitoring the provision of services, including outcomes, assessing appropriate changes or additions to services, and making necessary referrals, as needed, for the Enrollee; and
(4) Ensuring that appropriate mechanisms are in place to receive Enrollee input, Complaints, and Grievances, and secure communication among relevant parties.
Care Coordinator. An individual within a Provider organization who facilitates Care Coordination for patients.
Care Coordinator. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-compliance with training by the Care Coordinators. The Care Coordinator must: Act as the single point of contact for an Enrollee to the Contractor and the ICT; Be a provider-based clinician or other trained professional; or Be an individual employed or contracted by the Contractor or the Enrollee’s Primary Care Provider who is trained in providing care coordination to persons with disabilities;
Care Coordinator. The Care Coordinator shall:
i. Assign day-to-day responsibilities for the Care Team on duty;
ii. Be responsible for scheduling, performance records, continuing in-service training, crew and program evaluation, and disciplinary action;
iii. Assist in Care Team and Safety Team calls for service requiring trauma informed best practices;
iv. Maintain direct contact with the District’s Janitorial Supervisor to ensure the coordination of safety and cleaning efforts;
v. Maintain direct contact with the Safety Team to ensure the coordination of all Safety for All efforts;
vi. Build and maintain relationships with service providers and community aid groups, including those which are culturally specific;
vii. Meet all requirements outlined for Outreach Ambassadors; and
xxxx. Xx full-time equivalent with salary based on a 40-hour work week.
