Healthcare Coordinator Specialist

4 days ago


Little Creek, Delaware, United States CAI Full time
Job Summary
CAI is seeking a Registered Nurse Case Manager to provide community-based care coordination and management for clients in Delaware. This full-time hybrid role involves assessing, planning, and implementing care for members with chronic health needs while facilitating resources and education.

About the Role
This position will be a full-time 3-month contract-to-hire role and hybrid. The successful candidate will travel to members' homes, nursing facilities, and other community-based settings to complete face-to-face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.

Key Responsibilities
* Assess, plan, coordinate, implement, and evaluate care for eligible members with chronic and complex healthcare, social service, and custodial needs in a nursing facility or home and community-based care setting.
* Coordinate care across the continuum of services and assisting members' physical, behavioral, long-term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs.
* Facilitate authorization, coordination, continuity, and appropriateness of care and services in community or HCBS.
* Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member's specific needs.
* Educate members or caregivers regarding healthcare needs, available benefits, resources, and services including available options for long-term care community or facility-based service delivery.
* Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment.

Requirements
* Current Registered Nurse licensed in the state of Delaware.
* 5+ years of case management and discharge planning experience, including experience discharging members from a facility setting.
* Experience completing assessments, developing service plans, and care plans.
* Experience collaborating with PCPs, occupational therapists, behavioral health, and providers.
* Experience with ordering DME equipment and educating and providing resources for the member's social determinants.
* Working flexible hours to meet member needs.
* Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook).
* Reliable transportation daily to be able to travel within assigned territory.

Benefits
Estimated salary: $80,000 - $110,000 per year based on location and experience.

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