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Long Term Care Coordinator I

Company: Centene
Location: Clearwater
Posted on: November 6, 2019

Job Description:

Long Term Care Coordinator I Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination. Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact Authorize and coordinate referral for services Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services Assist member with filing and resolving complaints and appeals Education/Experience: Bachelor's degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred. Licenses/Certifications: Valid driver's license. LPN or RN preferred. Pennsylvania requirements: Bachelor's degree or Registered Nurse License and 3+ years of experience in a social service or health care related setting, Licensed Practical Nurse and 5+ years of experience in a social service or health care related setting, or 7+ years of experience in a social service or health care related setting. Licenses/Certifications: Valid driver's license. LPN, LCSW or RN preferred. Iowa requirements: Bachelor's degree and 2+ years of case management experience, or RN with 6+ years of case management experience For North Carolina only: - Must reside in North Carolina - Must be licensed practitioners - Must be supervised by an RN, LCSW, or psychologist with trauma-based experience and training. Behavioral Health (BH) Managers and Full-Time BH Staff: These individuals shall be responsible for integrating into the clinical and care management teams to ensure Member's behavioral health needs are fully integrated into the service delivery system. - Must reside in North Carolina - Experience working in behavioral health managed care and clinical setting - Licensed behavioral health professional practicing within their scope Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Clinical & Nursing USA-Florida-Clearwater Sunshine State Health Plan Full-time

Keywords: Centene, Clearwater , Long Term Care Coordinator I, Other , Clearwater, Florida

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