Overview:
Service Coordinators Level 3 are responsible for a case load of 750 ALL telephonic. Ideal candidates will come from a Managed Care background.
Job Duties:
- Assess, plan, and implement care strategies that are individualized by member and directed toward the most appropriate, lease restrictive level of care.
- Manage the care plan throughout the continuum of care as a single point of contact.
- Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team.
- Perform telephonic and/or face-to-face clinical assessments for the identification, evaluation, coordination and management of member’s needs, including physical health, behavioral health, social services and long-term services and supports.
- Identify members for high-risk complications and coordinates care in conjunction with the member and the health care team.
- Manage members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of health benefits.
Qualifications:
- Managed Care Experience
- Familiar with Care Plan Documentation
- Active LVN/LPN license in the state of Texas
