Service Coordinator

University Health Careers; Pleasanton (TX); On-site; USD 45,000 - 60,000; Full time

Job summary

University Health Careers is seeking a Service Coordinator-Licensed Vocational Nurse (SC-LVN) in Texas to collaborate with medical, behavioral, and social support staff to holistically evaluate member needs and preferences. You will educate members and their networks while coordinating LTSS services within a managed care framework.

The role requires at least three years of clinical nursing experience, with preferred experience in managed care, data entry, and RUG/MDS/PASRR.

Qualifications

• Three years of clinical nursing experience minimum.
• Experience in a managed care environment or with people who are disabled or vulnerable with chronic/complex conditions preferred.
• Data entry experience is required.
• Call center experience preferred.
• Experience with RUG/MDS/PASRR preferred.

Responsibilities

• Collaborate with medical, behavioral, and social support staff to evaluate STAR+PLUS members’ needs and preferences.
• Provide education and health information to the member, the member’s representative, and the member’s support network.
• Coordinate LTSS services for STAR+PLUS members, addressing physical, behavioral, functional, and psychosocial needs.
• Ensure compliance with Community First Health Plans policies and protocols and maintain good working relationships with coworkers, members, and guests.

Skills

Data entry

Call center experience

RUG/MDS/PASRR

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Service Coordinator-Licensed Vocational Nurse (SC-LVN) collaborates with medical, behavioral, and social support staff within the Service Coordination team to provide a holistic evaluation of STAR+PLUS Members’ individual dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Representative, and the Member’s Support Network. Coordinates STAR +PLUS Members covered and uncovered Long Term Services and Supports (LTSS) services, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with Community First Health Plans, Inc. (Community First) policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, Members, and guests

EDUCATION/EXPERIENCE

A minimum of three years of clinical nursing experience is preferred. At least two years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred. Data entry experience is required. Call center experience preferred. Experience with RUG/MDS/PASRR preferred

LICENSURE

Current unrestricted license in the State of Texas as an LVN is required