Medical Services Coordinator
University Health · Boerne, Texas, United States
FULL TIMEpermanent
Job Description
POSITION SUMMARY/RESPONSIBILITIES
Do not wait to apply after reading this description a high application volume is expected for this opportunity.
The Service Coordinator-Licensed Vocational Nurse (SC-LVN) collaborates with medical, behavioral, and social support staff within the Service Coordination team to provide a holistic evaluation of STAR+PLUS Members’ individual dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Representative, and the Member’s Support Network. Coordinates STAR +PLUS Members covered and uncovered Long Term Services and Supports (LTSS) services, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with Community First Health Plans, Inc. (Community First) policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, Members, and guests
EDUCATION/EXPERIENCE
A minimum of three years of clinical nursing experience is preferred. At least two years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred. Data entry experience is required. xzbcwsv Call center experience preferred. Experience with RUG/MDS/PASRR preferred
LICENSURE
Current unrestricted license in the State of Texas as an LVN is required
Do not wait to apply after reading this description a high application volume is expected for this opportunity.
The Service Coordinator-Licensed Vocational Nurse (SC-LVN) collaborates with medical, behavioral, and social support staff within the Service Coordination team to provide a holistic evaluation of STAR+PLUS Members’ individual dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Representative, and the Member’s Support Network. Coordinates STAR +PLUS Members covered and uncovered Long Term Services and Supports (LTSS) services, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with Community First Health Plans, Inc. (Community First) policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, Members, and guests
EDUCATION/EXPERIENCE
A minimum of three years of clinical nursing experience is preferred. At least two years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred. Data entry experience is required. xzbcwsv Call center experience preferred. Experience with RUG/MDS/PASRR preferred
LICENSURE
Current unrestricted license in the State of Texas as an LVN is required