LTSS Service Coordinator - RN Clinician - Northern Indiana at Professional Management Enterprises

South Bend, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jul, 26

Salary

43.5

Posted On

23 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case management, Care coordination, Clinical assessment, Care planning, Supervision, Regulatory compliance, Communication skills, Organizational skills, Problem-solving, Collaboration, Chronic illness management, Long-term services and supports, Behavioral health, Social services

Industry

Professional Services

Description

Description Location: Indiana, USA Company: BKG Enterprises About Us: BKG Enterprises is a leading healthcare organization committed to providing comprehensive care coordination services to our members. We are dedicated to optimizing member healthcare across the care continuum, ensuring individuals with chronic illnesses, co-morbidities, and disabilities receive the support they need to thrive. Join us in our mission to make a meaningful impact on the lives of our members. This position does require ~ 50% travel (mileage is reimbursable), all other work is remote. Pay: Hours: Monday - Friday 8am-5pm Pay: $43.50/hr ($90,480/yr) Benefits: Health, dental, vision and supplemental insurance 401k 80 hours of PTO 10 paid holidays Reimbursable mileage Position Overview: We are seeking a dynamic and experienced LTSS Service Coordinator - RN Clinician to join our team. In this role, you will be responsible for the overall management of members' cases, providing supervision and direction to non-RN clinicians while ensuring compliance with applicable state laws and contracts. You will conduct clinical assessments, develop individual care plans, and coordinate care to meet the diverse needs of our members. Responsibilities: Manage members' cases within the scope of licensure, providing supervision and direction to non-RN clinicians. Conduct telephonic or face-to-face clinical assessments to identify and evaluate members' needs, including physical health, behavioral health, social services, and long-term services and supports. Identify members at high risk for complications and coordinate care in collaboration with the health care team. Develop, monitor, evaluate, and revise individualized care plans to optimize member health across the care continuum. Establish short- and long-term goals in collaboration with members, caregivers, family, and physicians. Identify members who would benefit from alternative levels of care or waiver programs. Assist in the implementation of member care plans by facilitating authorizations/referrals for services. Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans. Direct and/or supervise the work of non-RN clinicians, ensuring tasks are assigned appropriately and performance is reviewed regularly. Requirements Qualifications: Registered Nurse (RN) with a minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role. Current, unrestricted RN license in Indiana. MA/MS in Health/Nursing preferred. State-specified certification based on state law and/or contract may be required. Training, expertise, and experience in providing case management and care coordination services for individuals, including specialized populations such as older adults and/or individuals with physical or developmental disabilities and/or individuals determined to have a serious mental illness (SMI). Strong communication, organizational, and problem-solving skills. Ability to work effectively in a collaborative team environment.

Responsibilities

The RN Clinician will manage member cases by conducting clinical assessments and developing individualized care plans across the care continuum. They are also responsible for supervising non-RN clinicians and collaborating with inter-disciplinary teams to ensure compliance with state laws.