[Hiring] LTSS Service Coordinator - RN Clinician @Professional Management Enterprises

Role Description

We are seeking a dynamic and experienced LTSS Service Coordinator - RN Clinician to join our team. In this role, you will be responsible for the overall management of members' cases, providing supervision and direction to non-RN clinicians while ensuring compliance with applicable state laws and contracts. You will conduct clinical assessments, develop individual care plans, and coordinate care to meet the diverse needs of our members.

• Manage members' cases within the scope of licensure, providing supervision and direction to non-RN clinicians.
• Conduct telephonic or face-to-face clinical assessments to identify and evaluate members' needs, including physical health, behavioral health, social services, and long-term services and supports.
• Identify members at high risk for complications and coordinate care in collaboration with the health care team.
• Develop, monitor, evaluate, and revise individualized care plans to optimize member health across the care continuum.
• Establish short- and long-term goals in collaboration with members, caregivers, family, and physicians.
• Identify members who would benefit from alternative levels of care or waiver programs.
• Assist in the implementation of member care plans by facilitating authorizations/referrals for services.
• Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans.
• Direct and/or supervise the work of non-RN clinicians, ensuring tasks are assigned appropriately and performance is reviewed regularly.

Qualifications

• Registered Nurse (RN) with a minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role.
• Current, unrestricted RN license in Indiana.
• MA/MS in Health/Nursing preferred.
• State-specified certification based on state law and/or contract may be required.
• Training, expertise, and experience in providing case management and care coordination services for individuals, including specialized populations such as older adults and/or individuals with physical or developmental disabilities and/or individuals determined to have a serious mental illness (SMI).
• Strong communication, organizational, and problem-solving skills.
• Ability to work effectively in a collaborative team environment.

Requirements

• This position does require ~ 50% travel (mileage is reimbursable), all other work is remote.
• Hours: Monday - Friday 8am-5pm
• Pay: $43.50/hr ($90,480/yr)

Benefits

• Health, dental, vision and supplemental insurance
• 401k
• 80 hours of PTO
• 10 paid holidays
• Reimbursable mileage

Company Description

BKG Enterprises is a leading healthcare organization committed to providing comprehensive care coordination services to our members. We are dedicated to optimizing member healthcare across the care continuum, ensuring individuals with chronic illnesses, co-morbidities, and disabilities receive the support they need to thrive. Join us in our mission to make a meaningful impact on the lives of our members.