Senior Care Coordination Specialist (LTSS & STAR Kids)

Driscoll-Children; Corpus Christi (TX); Vor Ort; USD 48.000 - 65.000; Vollzeit

Zusammenfassung

Driscoll-Children seeks a Service Coordinator III to support care coordination for STAR Kids members, focusing on delivering person-centered LTSS and timely community-based services. You will collaborate with physicians, families, and the care team to promote independence and community integration.

The role emphasizes administrative support, outreach for Level 3 members, and adherence to contract requirements while maintaining confidentiality and regulatory compliance.

Qualifikationen

• Experience with Texas Medicaid criteria and managed care guidelines.
• Knowledge of STAR Kids program and pediatric care coordination.
• Familiarity with confidentiality and regulatory compliance in health plans.
• Experience in a managed care environment or LTSS coordination preferred.

Aufgaben

• Provide administrative support for care coordination to assigned RNs and social workers.
• Coordinate outreach and care coordination for Level 3 STAR Kids members as needed.
• Communicate with physicians, social workers, nurses and care team to optimize outcomes.
• Produce regular status reports and ensure compliance with STAR Kids contract requirements.
• Assist management with workload planning and performance improvement activities.

Kenntnisse

Medicaid criteria

Managed care

STAR Kids

Microsoft Office

Confidentiality

Regulatory compliance

Care coordination

Communication

Ethics

Ausbildung

High school diploma

Associate's Degree

Licensed Vocational Nurse (LVN) license

Bachelor's degree

Jobbeschreibung

Driscoll-Children seeks a Service Coordinator III to support care coordination for STAR Kids members, focusing on delivering person-centered LTSS and timely community-based services. You will collaborate with physicians, families, and the care team to promote independence and community integration.

The role emphasizes administrative support, outreach for Level 3 members, and adherence to contract requirements while maintaining confidentiality and regulatory compliance.