• Long Term Care Coordinator I

    Centene CorporationFort Lauderdale, FL 33322

    Job #1070295919

  • Hourly

    Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development, assessment, and care coordination.

    Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development

    Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact

    Authorize and coordinate referral for services

    Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care

    Assist in coordinating the development of informal or voluntary services to integrate into the member care plan

    Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services

    Assist member with filing and resolving complaints and appeals

    Education/Experience: Bachelor's degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred.

    Licenses/Certifications: Valid driver's license. LPN or RN preferred.

    Pennsylvania requirements:

    Bachelor's degree or Registered Nurse License and 3+ years of experience in a social service or health care related setting, Licensed Practical Nurse and 5+ years of experience in a social service or health care related setting, or 7+ years of experience in a social service or health care related setting.

    Licenses/Certifications: Valid driver's license. LPN, LCSW or RN preferred.

    Iowa requirements:

    Bachelor's degree and 2+ years of case management experience, or RN with 6+ years of case management experience

    For North Carolina only:

    • Must reside in North Carolina

    • Must be licensed practitioners

    • Must be supervised by an RN, LCSW, or psychologist with trauma-based experience and training.

    Behavioral Health (BH) Managers and Full-Time BH Staff: These individuals shall be responsible for integrating into the clinical and care management teams to ensure Member's behavioral health needs are fully integrated into the service delivery system.

    • Must reside in North Carolina

    • Experience working in behavioral health managed care and clinical setting

    • Licensed behavioral health professional practicing within their scope

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    TITLE: Long Term Care Coordinator I

    LOCATION: Sunrise, Florida

    REQNUMBER: 1167895

    COMPANY: Clinical & Nursing

    POSITION TYPE: Hourly

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