Care Coordinator

Sentara Healthcare Inc; Richmond (VA); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Care Coordinator to join their innovative team. This remote role requires travel to Nursing Facilities and members' homes in Richmond, VA. You will play a crucial role in providing case management services, developing personalized care plans, and collaborating with multidisciplinary teams to ensure optimal patient outcomes. The ideal candidate will have a strong background in health and human services, excellent communication skills, and the ability to work independently in a fast-paced environment. If you're passionate about making a difference in patient care, this is the opportunity for you!

Qualifications

• Must possess a degree in Health & Human Services or related fields.
• 1 year of long-term care experience required.

Responsibilities

• Develop and implement individualized care plans for members.
• Coordinate care for high-risk members with chronic conditions.

Skills

Case Management

Communication Skills

Problem-Solving Skills

Analytical Skills

Knowledge of Medicaid

Education

Degree in Health & Human Services

Degree in Social Work

Degree in Nursing

Job description

Sentara Health Plans Community Care is hiring a Care Coordinator. This is a remote position however traveling to Nursing Facilities and Members Home is required in Richmond, VA and its surroundings.

The Care Coordinator performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. Must develop, participate and monitor multidisciplinary collaboration of services to patients where appropriate. Assist adult patients and their families with personal and environmental difficulties associated with medical condition up to and including at time of terminal illnesses.

Key Responsibilities:

• Develop and implement individualized care plans for members to address their physical, behavioral, social, and long-term care needs.
• Perform face-to-face clinical assessments to identify, evaluate, and manage members’ needs.
• Coordinate care for high-risk members, including those with chronic conditions, co-morbidities, or disabilities.
• Manage care to ensure cost-effective and efficient utilization of health benefits, including conducting gap-in-care management for quality programs.
• Facilitate authorizations, referrals, and care plan implementation within benefits and coverage structures.
• Work closely with Medical Directors, Physician Advisors, and Interdisciplinary Teams to present and discuss case management treatment plans.
• Ensure compliance with regulatory, accrediting, and company policies and procedures.
• Assist with problem-solving related to provider, claims, or service issues as needed.

Education:

Must possess a degree in Health & Human Services or one of the following related Fields:

-Art Therapy
-Behavioral Sciences
-Child Development
-Cognitive Sciences
-Community Mental Health Counseling (MH, Vocational, Pastoral, etc.)
-Counselor Education
-Early Childhood Development
-Educational Psychology
-Gerontology
-Healthcare Administration
-Human Development
-Human Services
-Marriage and Family Therapy
-Music Therapy
-Nursing
-Pharmacy
-Psychiatric Rehabilitation
-Psychology
-Rehabilitation Counseling
-Social Work
-Sociology
-Special Education
-Speech Therapy
-Therapeutic Recreation
-Vocational Rehabilitation

All degrees must be from schools that are listed as accredited on the U.S. Department of Education College Accreditation database found on the U.S. Department of Education website. Schools that are not listed on the database do not meet the standard as accredited. Degrees that have been obtained from schools outside the United States will be reviewed individually.

Experience:

• 1 year of long-term care required,
• HealthPlan and Medicaid preferred.
• Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
• Excellent communication skills, both oral and written, as well as strong problem-solving and analytical skills.

• Ability to work independently and collaboratively in a remote, fast-paced environment.

Keywords: Talroo Health Plans, health plan, health care, case management, long term care, Medicaid, #ZipRecruiter