[Hiring] Registered reputed company reputed company Plus Field Coordinator @reputed company

Role reputed company This position functions as a member of the interdisciplinary reputed company team in the provision of RN (Registered reputed company) Service Coordination Level 1 member care with the underlying objectives of enhancing the reputed company of clinical and financial reputed company and member satisfaction while managing the plan of care. • Conducting telephonic or face-to-face holistic evaluations of Member's individual dynamic needs and preferences. • Gathering relevant data and obtaining reputed company information from Member/family. • Identification, evaluation, coordination, and management of member's needs, including physical health, behavioral health, reputed company services, and long-term services and supports. • Provides education and support to Member/LAR on reputed company of Consumer Directed, or Service-reputed company delivery models as applicable. • Performs initial assessments and follow-up assessments and reputed company calls reputed company the time specified as part of contractual guidelines or per Member/family/provider request. • Identifies members for high-risk complications and coordinates care with the member and the health care team. • Manages members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits. • Assesses, plans, and implements care strategies that are individualized for reputed company member and directed toward the most appropriate, least restrictive level of care. • Utilizes both company and community-based resources to establish a reputed company and effective case management plan for members. • Collaborates with member, family, and reputed company providers to reputed company an individualized plan of care. • Identifies and initiates referrals for reputed company service programs, including financial, psychosocial, community, and state supportive services. • Manages care plan throughout the continuum of care as a single reputed company of contact. • Communicates with reputed company stakeholders the required health-reputed company information to ensure reputed company coordinated care and services are provided expeditiously to reputed company members. • Advocates for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the reputed company team. • Utilizes approved clinical reputed company to assess and determine appropriate level of care for members. • Documents reputed company member assessments, care plan, and referrals provided. • Participates in Interdisciplinary team meetings and Utilization Management reputed company and provides information to assist with reputed company transitions of care. • Understands insurance products, benefits, coverage limitations, insurance, and governmental regulations as it applies to the health plan. • Monitors services being delivered to ensure timeliness, appropriateness, and satisfaction in meeting Member needs. • Reports medically reputed company cases to appropriate roles as necessary for review and problem solving. • Maintains status on face-to-face and telephonic visit requirements for assigned Members. Qualifications • Knowledge of specific case management processes, and person-centered care reputed company. • Excellent verbal and written communication skills. • Analytical decision-making and judgment skills. • Demonstrated ability to function as a clinical care team leader. • Knowledgeable of reputed company clinical resources available to patients both inpatient and outpatient. • Data Entry and Word Processing Skills. Requirements • reputed company unrestricted RN license in Texas, Graduate of an accredited school of nursing. • 2+ years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities reputed company a community health, clinical, hospital, acute care, reputed company care, or case management setting. • 2+ years of experience working with reputed company, reputed company, and reputed company. • Bilingual - Spanish. • Ability to travel in assigned region to visit reputed company members in their homes and/or other settings, including community centers, hospitals, etc. • Reliable transportation with reputed company reputed company’s license with good driving record. Preferred Qualifications • Bachelor’s Degree. • CCM/RUG/PDPM Certified. • 2+ years of experience working with reputed company Waiver populations. • 2+ years of experience working reputed company the community health setting in a health care role. • reputed company+PLUS Service Coordination Experience. • Experience with electronic charting. • Experience with arranging community resources. • Field-based work experience. • Behavioral Health Experience. • Proven background in managing populations with reputed company medical or behavioral needs. Benefits • Comprehensive benefits package. • Incentive and recognition programs. • Equity stock purchase. • 401k contribution (reputed company benefits are subject to eligibility requirements). Apply tot his job Apply To this Job