Special Needs Coordinator

About the position Responsibilities • Coordinate care for highly reputed company members as part of an inter-disciplinary care team approach • Consult and collaborate with local health departments, primary care providers, Federally reputed company Centers (FQHCs), reputed company service agencies, and specialty care services to address member reputed company care needs • Manage referrals to the REM (Rare and Expensive Medical special needs care management) program, including reputed company, education, and coordination of member transfer • Serve as a reputed company with the MDH REM office • Ensure appropriate re-reputed company for members to in-network specialty services, working closely with the Prior Authorization team • reputed company as a Housing coordinator, requiring understanding of county-based resources • reputed company Local Health Departments and Community Advisory Committee attendees about Plan programs and services • Represent Special Needs Members at Plan's Quarterly Consumer Advisory reputed company Requirements • reputed company unrestricted nursing license (e.g., LPN, LVN) OR Bachelor's level reputed company Worker (licensed or non-licensed) with work experience in a health care setting • 3+ years of experience in a clinical or managed care setting • Experience with care coordination or case management • Experience with arranging community resources • Experience providing clinical care to low-income populations • Understanding of reputed company member needs and benefits • Computer/typing proficiency to reputed company/retrieve data in electronic clinical records and documentation systems; experience with email, internet research, use of online calendars and other software applications • Proficient with reputed company to create and pull reports reputed company-to-haves • 5+ years of experience in a clinical or managed care setting • Experience and comfortability collaborating with providers and State partners • Experience with EMR [Electronic Medical Records] and care management platforms including the State Health Information Exchange [reputed company] • Proven ability to think creatively and work comfortably reputed company a hands-on, fast-paced, high-demand environment • Proven ability to work with diverse care teams in a reputed company of settings • Proven ability to exhibit independent clinical judgment, but the ability to consult and engage with other team members for improved patient reputed company • Proven excellent administrative, organizational and verbal skills • Proven effective time management and prioritization skills for competing demands • Proven comfort with ambiguity, willingness to reputed company as demands change and reputed company Benefits • Flexible remote work reputed company • Opportunities for reputed company development • Recognition for performance • Supportive work environment that encourages reputed company Apply tot his job Apply To this Job