LTSS Service Care Coordinator - Remote Full-time Float role bei Professional Management Enterprises

Description

 BKG is looking for a full-time LTSS Service/Care Coordinator – Clinician to join our team. This role offers a 50/50 split between travel and home-based work, with pay based on licensure. You’ll receive 80 hours of PTO after 90 days, 10 paid holidays, health, dental, and vision insurance, supplemental coverage options, and a 401k. If you enjoy making an impact in the community while also having time to work from home, this could be the perfect fit. 

Full-Time LTSS Service/Care Coordinator – 50/50 Travel & Home | Pay Based on Licensure | PTO, 10 Paid Holidays, Full Benefits & 401k

Location: Marion county and surrounding counties spend 4-5 days per week in-person with patients, members or providers.

The LTSS Service/Care Coordinator Float – Clinician has overall responsibility for the member's case, IN PathWays for Aging program, as required by applicable state law and contract, contributes to the LTSS care/service coordination process by performing activities within the scope of licensure including, for example, assisting with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. 

How you will make an impact: 

· Assists in identifying members for high-risk complications. 

· Obtains clinical data and assists in identifying members that would benefit from an alternative level of care or other waiver programs. 

· Verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs. 

· Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed, and in conjunction with the member and the health care team, to ensure cost effective and efficient utilization of health benefits. 

· Decision making skills will be based upon the current needs of the members and require an understanding of disease processes and terminology and the application of clinical guidelines.  

· Conducts initial assessments to include identification of desired home and community-based services and applicable providers to render services for those members invited to join the PathWays Waiver program.

· Supports coverage of caseloads as a float coordinator, as necessary.

Requirements

Minimum Requirements: 

· Requires an RN, LSW, LCSW, or LMSW in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Care/Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background. 

· Experience working with older adults in care management, provider or other capacity, highly preferred

· Experience managing a community and/or facility-based care management case load, highly preferred

· Current, unrestricted RN, LSW, LCSW, LMSW (as allowed by state law) in applicable state(s) required. 

· The health and safety of our associates, members, and communities is a top priority for Anthem. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this patient/member-facing role.

Preferred Skills, Capabilities and Experiences: 

· May require state-specified certification based on state law and/or contract. 

· Travels to worksite and other locations as necessary.