Long Term Care Coordinator I

1 day ago

Wichita, Kansas, United States Sunflower Health Plan Full time
About the Role

Sunflower Health Plan is seeking a highly skilled Long Term Care Coordinator I to join our team. As a key member of our care management team, you will play a critical role in developing and implementing holistic care plans that enable quality, cost-effective healthcare outcomes for our members.

Key Responsibilities
  • Evaluate Member Needs: Assess the needs of our members, identify resources available, and recommend and/or facilitate plans for the best possible outcomes.
  • Develop Care Plans: Assist in developing ongoing long-term care plans and work to identify providers, specialists, and community resources needed for long-term care.
  • Coordinate Care: Coordinate between members, families/caregivers, and care provider teams to ensure identified services are accessible to members.
  • Provide Resource Support: Offer resource support to members and their families/caregivers for various needs, such as employment, housing, participant direction, independent living, justice, foster care, and more.
  • Monitor Care Plans: Monitor care plans, member status, and outcomes, and provide recommendations to care plans based on identified member needs.
  • Interact with Healthcare Providers: Interact with long-term care healthcare providers and partners as needed to ensure member needs are met.
  • Collect and Maintain Member Information: Collect, document, and maintain long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
  • Perform Site Visits: Perform home and/or other site visits to assess member needs and collaborate with healthcare providers and partners.
  • Provide Education and Feedback: Provide and/or facilitate education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits. Provide 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.
Requirements

We are seeking a candidate with a Bachelor's degree and 2-4 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position.

What We Offer

Sunflower Health Plan 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. Total compensation may also include additional forms of incentives.

Sunflower Health Plan 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.

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