Care Coordinator (RN|SW)

Professional Management Enterprises; Indiana, Indianapolis (PA, IN); Remote; Full time

Job summary

A leading company is seeking a Care Coordinator to manage care coordination for aging members in the community. This remote position requires a licensed nurse with experience in community health and case management. The role involves developing care plans and collaborating with various health service stakeholders.

Qualifications

• Must be a licensed nurse or similar medical professional.
• 3+ years of case management experience preferred.

Responsibilities

• Oversee care coordination and complex case management functions.
• Collaborate with health services directors and oversee care coordination teams.

Skills

Community Health Knowledge

Care Coordination

Communication

Education

Licensed Nurse

Tools

Microsoft Word

Job description

Job Title: Care Coordinator

The Care Coordinator will oversee care coordination and complex case management functions for PathWays to Aging members who live in the community and are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC).

Job Details:

• Location: Remote (Indiana) Must be an Indiana Resident
• Hours: Monday - Friday 8am-5pm
• Pay: $38-$48 hourly | Weekly pay

Job Summary:

The Care Coordinator must, at a minimum, be a licensed nurse or similar medical professional with extensive experience in providing care coordination to members aged 60 and older. This position requires local travel.

This individual will work directly under the Health Services Directors to maintain the care coordination program and will be responsible for overseeing care coordination teams, developing and implementing care plans.

The Care Coordinator will direct the activities of care coordinators, including physical and behavioral health care services. They will collaborate with the Health Services Director, Service Coordinator Administrator, Medical Director, Provider and Member Services Managers, and with State staff as necessary to communicate with providers and members.

The Care Coordinator will also provide input at State-level meetings as requested.

Required Qualifications:

• Resident of Indiana
• Licensed Nurse with equivalent experience
• Unrestricted License in Indiana
• Experience working within the community health setting
• Knowledge of Indiana Medicaid, Medicare, and Long-term care
• Intermediate experience with Microsoft Word and navigating a Windows environment
• Driver's License

Preferred Qualifications:

• 3+ years of case management experience within healthcare
• Background in managed care
• Certified Case Manager (CCM)
• Experience with members receiving long-term social supports
• Experience in utilization review, concurrent review, and risk management

PME is an equal opportunity employer. We prohibit discrimination and harassment based on veteran status, race, color, religion, sex, sexual orientation, gender identity, age, pregnancy, national origin, citizenship, disability, genetic information, or any other protected category under law.