LTSS服务护理协调员
LTSS Service Care Coordinator
职位职责：协助开展、评估和协调全面的护理管理活动，以实现高质量、成本有效的医疗结果。可能负责制定或协助制定长期护理会员的个性化服务计划/服务方案，并向会员及其家庭/照护者教育有关满足会员需求的服务和福利。
关键信息：远程办公，周一至周五 CST 时间上午 8 点至下午 5 点。需要学士学位以及至少 1 年服务人群相关经验。
- 评估会员的需求、可用资源，并推荐和/或促成最佳结果的计划
- 协助制定持续的长期护理计划/服务方案，并努力确定长期护理所需的提供者、专家和/或社区资源
- 在适当的情况下，协调会员和/或家庭/照护者与护理团队之间的沟通，确保所确定的服务对会员可及
- 根据服务评估和计划，为会员及其家庭/照护者提供各种需求（如就业、住房、参与者指导、独立生活、司法、寄养）的资源支持
- 根据识别的会员需求，适时监控护理计划/服务方案、会员状态和结果，并根据情况提出护理计划/服务方案的建议
- 适当与长期护理医疗提供者和合作伙伴互动，确保会员需求得到满足
- 收集、记录并维护长期护理会员信息和护理管理活动，以确保符合当前州、联邦和第三方支付者的监管要求
- 可能进行现场访问以评估会员需求，并与提供者或资源合作，视情况而定
- 向长期护理会员及其家庭/照护者提供或促进关于程序、医疗提供者指示、服务选项、转介和医疗福利的教育
- 向领导层提供反馈，提出在成本有效的基础上改进和提升长期护理会员护理和服务交付质量的机会
- 执行其他指派的任务
- 遵守所有政策和标准
教育/经验：需要学士学位和 1 年相关经验。
或通过相关知识、职责、范围和技能的成就获得同等经验，反映该职位的级别。
仅限爱荷华计划：需要学士学位
查看英文原文
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
Key Details: Remote, Monday - Friday 8AM to 5PM CST. Bachelor's degree required and 1+ years of experience with populations served required.
- Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
- Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
- Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
- Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
- Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
- Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
- Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires a Bachelor's degree and 1 year of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
For Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served.
Pay Range: $22.94 - $38.79 per hour
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Originally posted on Himalayas