Healthcare Service Coordinator

4 days ago


San Antonio, Texas, United States University Health System- San Antonio Full time

Job Summary

The Service Coordinator-RN/NP/PA at University Health System-San Antonio provides comprehensive support to STAR Kids Members by identifying, selecting, and coordinating Covered Services and other supports to enhance their well-being, independence, and community integration. This role involves a holistic evaluation of individual dynamics, needs, and preferences, as well as education and health-related information provision to Members, their Legal Authorized Representatives, and Support Networks. Key responsibilities include coordinating covered and uncovered services, including acute and long-term services and supports, while meeting physical, behavioral, functional, and psychosocial needs. The ideal candidate will possess a strong working knowledge of ICD10, CPT4 coding, InterQual/M&R criteria, Texas Department of Insurance HMO standards, LTSS, and NCQA standards, as well as current licensure with the Texas State Board of Nurse Examiners and certification from an appropriate professional agency.

Requirements

• BSN preferred
• At least five (5) recent years of clinical experience, including service coordination, case management, quality management, or managed care experience
• Working knowledge of ICD10, CPT4 coding, InterQual/M&R criteria, Texas Department of Insurance HMO standards, LTSS, and NCQA standards
• Supervisory experience preferred
• Current licensure with the Texas State Board of Nurse Examiners
• Certification from an appropriate professional agency, such as the Case Management Society, required or to be obtained within 24 months of accepting the position



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