Primary Care Coalition of Montgomery County, Maryland was founded in 1993 when a group of physicians and health care officials imagined a Montgomery County where every resident had access to high-quality health services. They envisioned a dependable source of primary care for low-income, uninsured individuals in our community and created a framework that shared the responsibility for providing that care across the public and private sectors. The Primary Care Coalition (PCC) was formed to help make their vision a reality.

The mission of PCC is to be the catalyst for developing and coordinating a community-based healthcare system that strives for universal access and health equity for underserved community members. The vision of PCC is that all community members have the opportunity to live healthy lives, and that Montgomery County will be the healthiest community in the nation and a model for providing access to high quality and efficient care for all.

Position Summary

The CMS Care Coordinator facilitates access to timely and appropriate CMS program services. This position’s responsibilities include but are not limited to working with Montgomery County and Prince George’s County families of children and youth with special health care needs to facilitate access to timely and appropriate CMS program services. This position is responsible for processing applications for CMS, coordinating medical appointments for children, and working with families to ensure that they understand the CMS process.  This position will establish relationships with families, follow-through with medical care.  This position will also be responsible for coordinating care with providers and ensuring that families receive adequate information related medical care needs and follow-up CMS services and will ensure that there is appropriate coordination and linkage to Care for Kids and other child and family services.  This position reports to the PCC Director of Client Services and the Director of the Maryland State CMS program. 

The Children’s Medical Services Coordinator will be required to spend one day each week in Baltimore at the CMS office and attend trainings and meetings as required by Maryland Department of Health. This position may need to conduct education/outreach activities in the community.

Specific Duties

• Assists children and families with CMS program application process.
• Explains CMS policies and procedures to children/families within the CMS program.
• Provide care coordination for children enrolled in the CMS program with specialty care needs including: assistance with preauthorization of services; scheduling of appointments; accessing other community resources; facilitating coordination of primary health care and specialty care services with the Montgomery County Care for Kids program.
• Provide primary case management for a specialty care needs children enrolled in CMS and facilitate resolution of any problems or issues related to access to medical services.
• Provide outreach and education to local jurisdictions and community provider regarding CMS program policies and procedures.
• Collect information and maintain data on all cases referred for CMS services.
• Provide monthly data reports to PCC Director of Client Services.
• Prepare and submit quarterly data and narrative reports to the PCC Director of Client Services.  Prepare and submit mid-year and annual data and narrative reports to the PCC Director of Client Services.
• Participate in all regular Care for Kids and Primary Care Coalition staff meetings.
• Serve as the liaison between CFK staff and the CMS program.
• Work collaboratively with the CFK case manager and Director of Client Services to reduce barriers to care and facilitate seamless service delivery to CMS/CFK clients.
• Identify for discussion and resolution barriers to care involving program participants, providers, care delivery or access to care.
• Performs other duties and responsibilities as assigned or as needed.

Required Education and Experience

• Bachelor’s degree from an accredited college or university, preferably in a health or human services field.  A master’s degree from an accredited college or university in a health or human services field may be substituted for one year of experience.
• Three to five years of professional experience in a health or human services field, with experience working with children with special health care needs preferred.
• Proficiency in Microsoft Office applications including Word and Excel and the ability to collect and analyze data.
• Excellent oral and written communication skills in English and Spanish.
• Bilingual in English and Spanish.

Skills and Abilities

• Demonstrated ability to work collaboratively with a variety of individuals and agencies including hospital departments, health care providers, non-profit agencies, and local and state government programs.
• Ability to communicate and work effectively with patients, families, co-workers, medical providers and to network effectively with community programs.
• Demonstrated competence and sound judgment in coordinating referrals to community resources.
• Ability to handle sensitive communications and interface with individuals in crisis.
• Flexibility in dealing with organizational and regulatory changes and strong commitment to patient care.
• Knowledge of medical terminology, basic pediatric practice, and legal requirements regarding informed consent and confidentiality.
• Ability to perform multiple tasks, manages time effectively, work well under pressure, pay attention to detail and have good problem solving skills.
• Ability to be creative, resourceful, organized and self-motivated.

ADA Requirements

This job operates in a professional office environment.  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets and fax machines.
• This is largely a sedentary role; however, some filing may be required.
• This would require the ability to lift files, open filing cabinets and bend or stand as necessary.
• Advanced math skills needed to calculate compensation and analysis
• Requires ability to learn new software applications as necessary
• Must be able to lift up to 20 pounds. 

Disclaimer

This job description indicates in general the nature and levels of work, knowledge, skills, abilities and other essential functions (as covered under the Americans with Disabilities Act) expected of an incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an incumbent. An incumbent may be asked to perform other duties as required.