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Care Coordination Associate - Pop Health

HealthCare Access Maryland
Baltimore, MD Full Time
POSTED ON 11/18/2025 CLOSED ON 3/10/2026

What are the responsibilities and job description for the Care Coordination Associate - Pop Health position at HealthCare Access Maryland?

About HealthCare Access Maryland (HCAM)

HealthCare Access Maryland (HCAM) is a nonprofit organization dedicated to making Maryland healthier by connecting residents to health insurance coverage and providing comprehensive care coordination. Each year, HCAM assists over 80,000 individuals across the state, offering personalized guidance, health education, and advocacy to ensure every Marylander has an equal opportunity to achieve optimal health.

healthcareaccessmaryland.org

Job Summary

The Community Care Coordinator (CCC) will provide short-term care coordination services to individuals and families utilizing MD Medicaid insurance. The CCC will be responsible for receiving referrals from various sources, assessing client needs, and partnering with Medicaid Managed Care Organizations, Providers, Public Health and community resources to address the needs identified as barriers to care. The CCC routinely performs home and telephone assessments to provide linkage and coordination to primary care, dental care, specialty care, preventive health screenings, and behavioral health.

Duties And Responsibilities

Administration

  • Participate in professional development opportunities that build effectiveness in areas of client engagement and intervention, motivational interviewing, and trauma-informed outreach strategies.
  • Participation in local/state meetings, conferences, and community meetings.
  • Participate in city-wide initiatives/groups/committees as applicable.
  • Consistent and timely communication with supervisor

Community Partnerships/Outreach

  • Initiate client outreach via telephone or via home visit within 5-10 days of receipt of a referral
  • Provide health education and system navigation to Medicaid benefited services including primary care, dental care, specialty care, preventive health screenings, lead screenings, case management, and vaccinations.
  • Connect and collaborate with Providers, Hospitals, Community Based Organizations, MCO Case managers and other professionals to address and resolve client need

Care Coordination

  • Assess, triage, and refer clients to a variety of available resources to reduce barriers to wellness including the following partners: B’More for Healthy Babies Centralized Intake, home visiting, WIC, Safe Sleep, etc. Appropriate MCO incentive programs and case management, Medical Assistance Transportation
  • Provide linkage and coordination to OB, MCO, pediatric or primary care, postpartum care, dental care, behavioral health, specialty care, as well as linkage to the Maryland Medical Care Programs as needed.
  • Maintain a monthly minimum success rate of 70%.
  • Maintain a monthly minimum on-time case closure rate of 90%.

Documentation

  • Documentation of all outreach activities according to standard operating procedures in the HCAM electronic medical database.
  • Documents client assessments, activity, service plans and resolutions; prepare narrative and statistical reports.
  • Provide Service Response letters to referring Entities at the time of case closure

Human Resources

  • Complete and submit timesheets timely and accurately.
  • Complete all the training courses required as assigned

Additional Duties And Responsibilities

  • Additional duties as assigned

Qualifications

Education, Experience, Certifications and Licensures:

  • High School Diploma or GED required.
  • Associate or bachelor's degree in a related area; Human Services, Social Work, Health Education, from an accredited college or university preferred but not required
  • Community Health Worker Certification a plus; the willingness to undergo certification training within 1 year of employment
  • A minimum of 1 years of related experience
  • Relevant clinical experience providing services to pregnant women and/or infants, preferably in a public health/community setting

Compensation

In compliance with Maryland's wage transparency requirements, the compensation for this role has been included in the posting. Additionally, the benefits package includes vacation, sick, personal, and mental health leave, a 401k retirement plan with employer match, medical, dental, life, short-term and long-term disability insurance, company-paid life insurance, voluntary life insurance options, Health Savings Account (HSA) and Flexible Spending Account (FSA) options, and a voluntary emergency savings fund with employer match.

EEO Statement

HealthCare Access Maryland provides equal employment opportunities to all qualified individuals without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, age, national origin, physical or mental disability, military or veteran status, genetic information, or any other protected classification. Equal employment opportunity includes, but is not limited to, hiring, training, promotion, demotion, transfer, leaves of absence, and termination. HealthCare Access Maryland takes allegations of discrimination, harassment, and retaliation seriously and will promptly investigate when such behavior is reported.

Safety & Health Responsibilities

HCAM is committed to providing and maintaining a safe, secure and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.

With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times, and; participate in mandatory or available safety training.

Physical Requirements

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.

While performing the duties of this job, the employee is regularly required to talk, hear and respond to customers and employees. The employee frequently is required to stand; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee is occasionally required to walk and sit. The employee must regularly lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Salary : $23

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