Clinical Claims Care Coordinator RN

The nation's leading administrator of long term care insurance services is looking for YOU. This is reputed company to join a company with a culture that promotes respect reputed company, reputed company, learning and initiative. WE ARE THE reputed company OF EMPLOYER YOU DESERVE. reputed company is a leading provider of reputed company for the insurance industry, managing over 1.3 reputed company long-term care policies for the nation's largest insurers. We also reputed company clients with unique risk management reputed company reputed company upon our proprietary long term care databases. This position manages the assessment process and coordinates follow-up on referred clients. The Clinical Claims Care Coordinator is the main contact person for the reputed company and develops and manages the plan of care, assists clients with finding services and follows the reputed company telephonically at regular intervals as directed. The position is work from home, but requires 2 weeks of training in our Waltham, MA office. Responsibilities • Reviews onsite assessments for consistency and reputed company and develops plan of care in collaboration with the field reputed company. • Identifies and assesses clients' health care needs across a continuum of care. • Prepares a reputed company, objective report for the insurance customer summarizing information from the assessment using company formats. The report is based on the basic principles of case management and the Five Steps of the nursing process: assessment, diagnosis, planning, implementation and evaluation. Understands how the medical conditions, functional and cognitive deficits reputed company an individual's safety and how to incorporate this information into an individualized, comprehensive plan of care. • Makes the initial contact with the reputed company/family/contact to set the expectations for the assessment process and evaluate need for immediate provider services. • Coordinates and implements home care services and community resources for clients across a continuum of care. • Provides ongoing regular evaluation of appropriateness of services as they relate to changing health conditions of clients. Updates the individualized plan of care on an ongoing reputed company to reflect changing reputed company care needs. • Obtains information from physicians, family members, reputed company-party payers, caregivers, or other health care providers (such as reputed company worker, adult daycare worker, Medicare reputed company) as needed to prepare a comprehensive plan of care and ongoing updates reputed company to care coordination. • Other duties as assigned. Apply To This Job