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Special Needs Care Coordinator
1 month ago
The Special Needs Care Coordinator provides contractually required assistance and support to Kaiser Permanente Medicaid Members. This role is responsible for identifying members who are aged, blind, disabled, or who have other medical and/or cognitive issues that create barriers to care. The Special Needs Care Coordinator coordinates internal and external services to ensure appropriate access and care planning, including other KP staff such as case managers and social work. This role also identifies and remediates barriers to care and access that result in population disparities.
Key Responsibilities:
Identify appropriate Medicaid members for enrollment screening using case finding methods
Independently and proactively complete chart reviews, screening calls, and full assessments related to the anticipated level of care and document findings using approved documentation tools
Triage findings from member assessments, identifying needs and issues and plan appropriate interventions
Determine Level of Care
Communicate findings and actions to involved care providers through succinct summaries that include findings, actions, and further recommendations
Develop a care plan that addresses short-term goals that are specific, attainable, and measurable and work with PCP to ensure a clear medical treatment plan is documented
Requirements:
Minimum two (2) years of experience in case management, care coordination, or population care
Minimum two (2) years of direct patient care as a registered nurse
Bachelors degree in nursing or health-related field
Registered Nurse License (Washington) within 6 months of hire or Compact License: Registered Nurse within 6 months of hire
Registered Nurse License (Oregon) within 6 months of hire
Drivers License (in location where applicable)
Basic Life Support
Preferred Qualifications:
Prior experience serving the mentally ill and/or individuals with substance abuse issues
Prior experience as a care coordinator or discharge planner
Knowledge of the Kaiser Permanente system, including HealthConnect
Professional certification as a case manager
Knowledge of Medicaid/Medicare programs and regulations
Knowledge of quality management and utilization management principles
