Full time Bilingual LTSS Service / Care Coordinator openings in Wichita Falls, TX with a major healthcare company. Starting ASAP Apply now to Silvana Manzella with A-Line.
Combination of remote work (2 days per week) and field work (3 days per week)
Service / Care Coordinator PAY RATE: $25-$26 per hour based on experience plus mileage reimbursement
Service / Care Coordinator HOURS: M-F 8:00am-5:00pm Central Time
Service / Care Coordinator Required Skills:
- Must be either an LVN/LPN or have a Bachelor's Degree and relevant experience
- 5+ years of experience working with the aging, blind, or disabled population groups
- 2+ years of Case management / Service Coordination experience
- Bilingual in Spanish is required
- Strong documentation skills
- Excellent computer skills
- High School Diploma or GED
Service / Care Coordinator Preferred Skills:
- Medical-Long Term Services and Supports Background, Working with the STAR+PLUS population.
- MCO Medicaid STAR+PLUS or STAR Kids or STAR Health insurance knowledge
- Service Coordination, Case Management or Nursing experience preferred.
- Background in Managed Care
- Familiarity and experience working with Medicare or Medicaid plans
Service / Care Coordinator Job Description:
- LTSS service care manager will have 3 days of travel for visits seeing the members in their home and 2 days working remote for documentation of assessments as well as any follow up and tasks required to work . SC will be assessing the member for approval or denial of personal attendant services to assist with Activities of daily living by filling out a H2060 form in the field.
- Will be working with STAR PLUS Medicaid Population (65+ with disabilities)
- LTSS Service CM will fill out a required assessment and all forms, document their assessments and submitting for authorization or denial of services within a 3 Business day turnaround.
- Evaluates the needs of the most complex and high-risk members and recommends a plan of care for the best outcome
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
- Educates on and coordinates community resources, to include medical and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
- Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
- Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
- Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Why Apply:
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- GREAT Hours.
- Competitive Pay Rate.
If you think this Service / Care Coordinator position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting.
Apply to this posting for immediate consideration with Silvana Manzella.
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