Dual-Eligible Care Navigator

Insight Global; Dayton (OH); Vor Ort; USD 65.000 - 85.000; Vollzeit

Zusammenfassung

Insight Global is seeking a Community Based Care Coordinator to coordinate care for Medicare/Medicaid dual-eligible individuals in and around Dayton, OH. You will perform home and community visits, assess needs, and develop personalized care plans in collaboration with interdisciplinary teams.

The role requires an Ohio license in a clinical field (RN/ Social Work / Counseling) and experience with Medicaid/Medicare programs, managed care, and care coordination.

Qualifikationen

• Must have a current, unrestricted clinical license in Ohio as one of the following: Registered Nurse (RN) ASN Social Worker Masters Clinical Counselor Masters
• Valid driver's license and reliable vehicle
• Verifiable auto insurance
• Experience with dual-eligible Medicare/Medicaid populations
• Experience with Medicaid and/or Medicare managed care
• Knowledge of Medicare and Medicaid programs
• Experience developing and managing individualized care plans
• Case Management Certification preferred

Aufgaben

• Coordinate care for individuals eligible for Medicare and Medicaid living in long-term care facilities.
• Assess medical, behavioral, and social needs and develop individualized care plans.
• Connect members with resources and coordinate care across providers and organizations.
• Lead interdisciplinary care teams and coordinate transitions of care to prevent readmissions.
• Educate members and families on benefits, chronic condition management, and preventive care.
• Maintain documentation of interactions, plans, interventions, and outcomes.
• Advocate for members and ensure active participation in healthcare decisions.

Kenntnisse

Nursing

Social Work

Counseling

Case Management

Care Coordination

Discharge Planning

Home Health

Community Health

Ausbildung

RN license

MSN

MSW

MS in Clinical Counseling

Jobbeschreibung

Insight Global is seeking a Community Based Care Coordinator to coordinate care for Medicare/Medicaid dual-eligible individuals in and around Dayton, OH. You will perform home and community visits, assess needs, and develop personalized care plans in collaboration with interdisciplinary teams.

The role requires an Ohio license in a clinical field (RN/ Social Work / Counseling) and experience with Medicaid/Medicare programs, managed care, and care coordination.