Responsible for performing telephonic and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs
Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team
Manages members with chronic illnesses, co-morbidities, and/or disabilities
Obtains a thorough and accurate member history to develop an individual care plan
Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians
Identifies members that would benefit from an alternative level of care or other waiver programs
Develops the care plan for services for the member and ensures the member's access to those services
May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care plans
May also assist in problem solving with providers, claims or service issues
Requirements
Requires a high school diploma or GED equivalent
Minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role
Current, active valid and unrestricted RN license in applicable state(s) required
BA/BS in Health/Nursing preferred
Strong preference for case management experience with older adults or individuals with disabilities
Long Term Care background preferred
Commitment to member-centered care and cultural responsiveness
Family Care/Partnership experience preferred
Comfortable using technology preferred
Strong interpersonal and communication skills
Ability to work collaboratively in team environment
Problem solving and crisis management abilities
Benefits
paid holidays
Paid Time Off
incentive bonus programs
medical benefits
dental benefits
vision benefits
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources
Job title
LTSS Service Coordinator – RN Clinician, RN Case Manager
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