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Long Term Care Coordinator II (Miami-Dade)

Posted on Dec 8, 2018 by Centene Corporation

Florida, FL
Health Care
Immediate Start
Annual Salary
Full-Time

Description:

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 developmentMonitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contactAuthorize and coordinate referral for servicesEnsure provider services are delivered without gaps and identify functional deficiencies in plans of careAssist in coordinating the development of informal or voluntary services to integrate into the member care planCollaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care servicesAssist member with filing and resolving complaints and appealsDirect care to participating network providersParticipate in care management committees and work on special projects related to care management as needed

Qualification:

Education/Experience\: Bachelor’s degree or Registered Nurse and 3+ years of care management experience, Licensed Practical Nurse and 5+ years of care management experience, or 7+ 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.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.

Reference: 600332921