Care Coordinator Specialist

7 days ago


Greenwood, South Carolina, United States Professional Management Enterprises Full time
Job Title: Well Care Coordinator

Job Summary:

The Well Care Coordinator will oversee the care coordination and complex case management functions for members who live in the community and are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). This individual will work directly under the Health Services Directors to maintain the care coordination program.

Primary Responsibilities:

  • Selects, manages, develops, mentors, and supports staff in designated departments or regions.
  • Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results.
  • Identifies, selects, structures, and prioritizes process improvement projects, ultimately implementing changes to meet program requirements.
  • Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence.
  • Assesses, plans, and implements care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care.
  • Identifies and initiates referrals for social service programs, including financial, psychosocial, community, and state supportive services.
  • Communicates with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.
  • Advocates for patients and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team.
  • Participates in training and coaching of direct reports as needed.
  • Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns, and foster a good working relationship.

Required Qualifications:

  • Resident of Indiana.
  • BSN with equivalent experience.
  • Registered Nurse with an unrestricted License in Indiana.
  • Experience working within the community health setting in a healthcare role.
  • Experience or knowledge of Indiana Medicaid, Medicare, Long-term care.
  • Experience coaching or mentoring staff.
  • Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment.

Preferred Qualifications:

  • 3+ years of case management leadership experience within a healthcare industry.
  • Background in managed care.
  • Case Management experience.
  • Certified Case Manager (CCM).
  • Experience/exposure with members receiving long-term social supports.
  • Experience in utilization review, concurrent review, and/or risk management.

Professional Management Enterprises is a minority and veteran-owned business that partners with major healthcare providers to find quality employees and thrives on helping people find positions that exceed their expectations.



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