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Care Coordinator

2 weeks ago


Newport News, Virginia, United States LHC Group Full time

About LHC Group

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LHC Group is a leading provider of post-acute care services, delivering high-quality, cost-effective care to patients and families nationwide.

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Job Summary

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We are seeking an experienced Care Coordinator - Medical Specialist to join our team. This role will be responsible for performing case management functions for Kentucky Waiver programs.

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Key Responsibilities

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  • ">
  • Educate clients and/or their representatives regarding the case management process, personal rights, risks, and responsibilities, as well as available resources;">
  • Lead person-centered service planning teams and coordinate and monitor services through team meetings with all service providers and participants of the client's person-centered service plan;">
  • Ensure participation of the client and/or their legal representative in the case management process;">
  • Assess the quality of services, safety of services, and cost-effectiveness of services being provided to the client to ensure the success and efficiency of the person-centered care plan;">
  • Ensure accurate updating of the client's status in the Medicaid Waiver Management Application (MWMA), including termination from program, admitted to the hospital or skilled nursing facility, transferred to an alternate waiver program, or relocation of residence;">
  • Complete all appropriate Medicaid waiver forms and documentation and submit through the Medicaid Waiver Management Application (MWMA);">
  • Provide information about participant direct services at the time of the initial person-centered care plan, at least annually thereafter, and upon inquiry from the client and/or their representative;">
  • Assure Prior Authorization letters are received for billing;">
  • Direct waiver referrals, in a timely manner, to the Aging and Disability Resource Center (ADRC) staff;">
  • Advocate on behalf of the client and family with appropriate community resources;">
  • Maintain regular communication with traditional provider agencies, local Department for Community Based Services, Department for Aging and Independent Living, and Department for Medicaid Services;">
  • Supports and participates in the Quality and Performance Improvement program;">
  • A bachelor's or master's degree in a health and human service field and at least one year of experience in a health and human service field or the educational equivalent in the field of aging or disabilities, or a Kentucky licensed registered nurse with at least two years of experience in the field of aging or disability or a master's degree in health or human services field;">
  • Broad knowledge base of special needs groups, community groups, and service organizations;">
  • The ability to work independently and as part of a team;">
  • Excellent communication and interpersonal skills;">
  • A passion for providing high-quality care to patients and families;">
  • Ability to work in a fast-paced environment and prioritize multiple tasks and deadlines;">
  • Strong problem-solving and analytical skills;">
  • Ability to maintain confidentiality and handle sensitive information with discretion;">
  • Commitment to delivering exceptional customer service and building strong relationships with patients, families, and healthcare professionals;">
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Requirements

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To be successful in this role, you must have a bachelor's or master's degree in a health and human service field and at least one year of experience in a health and human service field or the educational equivalent in the field of aging or disabilities, or a Kentucky licensed registered nurse with at least two years of experience in the field of aging or disability or a master's degree in health or human services field. You should also have broad knowledge base of special needs groups, community groups, and service organizations, as well as excellent communication and interpersonal skills. A passion for providing high-quality care to patients and families, ability to work independently and as part of a team, and commitment to delivering exceptional customer service and building strong relationships with patients, families, and healthcare professionals are also essential for this role.

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Benefits

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LHC Group offers a competitive salary and benefits package, including medical, dental, and 401k retirement plan. We also provide employee assistance programs and opportunities for professional growth and development.

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About Us

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LHC Group is a preferred post-acute care partner for hospitals, physicians, and families nationwide. Our mission is to deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, we strive to reach more patients and families with effective and efficient healthcare.

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Contact Information

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Please visit our website at [www.lhcgroup.com](http://www.lhcgroup.com) for more information about LHC Group and this opportunity.