Senior Care Coordinator Job at MedStar Medical Group
LPN Care Coordinator II is a position that works under the direction/supervision of an RN, with overall responsibility for the members’ case, as required by applicable state law and contract, contributes to the care coordination process by performing activities within the scope of licensure including, for example, telephonic assessments for the identification, evaluation, coordination, and management of the member’s needs, including physical health, behavioral health, social services, and community services and supports.
Responsibilities:
Responsibilities:
- Assists in identifying members for high-risk complications.
- Obtains clinical data as directed
- Assists in identifying members that would benefit from an alternative level of care or other waiver programs.
- Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits.
- Decision-making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
NECESSARY ATTRIBUTES
- ABILITY TO PRIORITIZE, STRONG ORGANIZATIONAL SKILLS, AND STRONG RELATIONSHIP-BUILDING SKILLS REQUIRED.
- Self-directed minimal supervision required
- Exceptional oral and written communication skills
- Ability to prioritize, plan and execute
- Ability to effectively engage patients
- Outstanding customer service skills with all patients and caregivers
- Courteous, professional, and team-based relationships with employees at all levels of the organization
QUALIFICATIONS:
- LPN (Valid License in Maryland).
- 3-5 years’ experience.
- Prior Care Coordination experience is a plus.
- 5 years of direct practice and patient experience, preferably in an outpatient setting (inpatient setting is a plus).
- Working knowledge of value-based care models, such as PCMH, and MACRA/MIPS.
- Computer skills, i.e. Outlook, Word, Excel, and the ability to manage the electronic calendar.
- Disease management experience; experience working with high-risk individuals requiring complex case management.
- Knowledge of community resources.
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