Healthcare Services Coordinator
5 days ago
About the Role
Ohana Health Plan seeks a skilled and compassionate Healthcare Services Coordinator to join our team in Oahu, Hawaii. As a key member of our care management team, you will play a critical role in developing and implementing holistic care plans for our most complex and high-risk members.
About the Job Description
This is a challenging and rewarding position that requires strong assessment and coordination skills. You will work closely with healthcare providers, facilities, and community resources to ensure our members receive seamless and comprehensive care. Your expertise will help prevent avoidable hospitalizations, readmissions, and emergency room visits.
Key Responsibilities
- Evaluate medical, behavioral, and social needs of complex members and develop personalized care plans
- Collaborate with healthcare providers, facilities, and community resources to coordinate services and benefits
- Perform assessments related to medical/physical health needs, functional assessments, and general health and social status
- Act as liaison and advocate between members, physicians, and facilities/agencies
- Support members with complex medical needs, such as HIV/AIDS, cancer, COPD, hemophilia, sickle cell disease, and brain injury
- Develop, monitor, and modify ongoing long-term care plans/service plans, including skilled and/or long-term nursing service needs
- Monitor member status for complications and clinical symptoms or other status changes
- Ensure appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources
- Provide education to long-term care members and their families/caregivers on preventive care, procedures, healthcare provider instructions, treatment options, and healthcare benefits
- Maintain accurate documentation and support the integrity of care management activities in the electronic care management system
About the Requirements
We are seeking a qualified candidate with:
- A Graduate degree from an Accredited School of Nursing or a Bachelor's degree with 2-4 years of experience in care management or a related field
- RN licensure and/or Compact State Licensure required
About the Benefits
Centene offers a comprehensive benefits package, including:
- Competitive hourly pay: $25.97-$46.68 per hour
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field, or office work schedules
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