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MVP Health Care
Rochester, NY | Full Time
$84k-101k (estimate)
6 Months Ago
Professional, Clinical Coordinator LTSS
MVP Health Care Rochester, NY
$84k-101k (estimate)
Full Time 6 Months Ago
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MVP Health Care is Hiring a Professional, Clinical Coordinator LTSS Near Rochester, NY

Status: Full Time, ExemptThe Clinical Coordinator (CC) will work directly with customers, their families and/or advocates to ensure that the member has access to MVP resources offered through the Long-Term Support and Services (LTSS) Program. The CC works collaboratively with the RN case manager to support, promote, and facilitate engagement in the LTSS Case Management Program. The CC will work as a bridge between the customer, the health plan, and the Community based Organizations to create a seamless and positive experience to fulfill their unmet care needs. The CC will build individual capacity by increasing health and wellness self-management skills and sufficiency through a series of activities such as outreach, education, encouragement t, social supports, and advocacy. The CC is responsible to evaluate the needs and of the customer in between assessment timeframes and I accountable to inform the RN case manager of any changes in member status between formal assessments. The CC will empower the customer to make informed decisions and advocate on their behalf when deemed necessary. The CG will collaborate with a broader team, including but not limited to Case Management, Social Work and the Medical Director. The CC will develop care plan interventions which maintain cost effective care and reduce/resolve challenges or barriers so that the customer may achieve their optimal level of health, independence, safety, and well-being. In this role, the CC will communicate regularly (as determined by the RN Case Manager) with the member to promote member engagement, utilization of Plan benefits to enhance their health and access while supporting overall satisfaction. Responsibilities: Build lasting relationships with members, families, and caregivers.Conduct new Member Medicaid Long Term Support Services (LTSS) follow up calls and completion of the members ongoing SDOH assessments.Ensure complete communication feedback to/from customers regarding service delivery, their ongoing health status, and other post-enrollment activities.Promote customer understanding of their diagnosis and treatment plan. Assist customers in addressing unmet needs and recommend community-based supports as necessary. Facilitate reduction of care disruption or delays in care.Facilitate access to services which are culturally appropriate, meet the customers’ stated need for service and enhance the quality-of-service delivery.Promote knowledge of health delivery system(s) to empower member into self-care management. Support patient-centric strategies to improve health and wellness in collaboration with the RN Case Manager, Collaborate with MVP Quality Management to support performance measurements. Facilitate resolution of real and perceived disruptions of care as the customer enrolls in MVP LTSS program. The CC will perform other duties as assigned by management. Position Qualifications:Minimum Education:Bachelor’s Degree in a Health or Human Service field preferred or combination of an Associate’s Degree in a health or human services field and two years of experience working within managed care or health services environment or five years of experience as a service coordinator with any population. Minimum Experience:Working knowledge of Medicaid l programs.Extensive knowledge and experience with Medicaid LTSS benefits community organizations, social services, and public resources.Experience in Managed Care and/or working with Medicaid, or Social Service Agencies a plus. Required Skills: practices and information into day-to-day customer engagement. Ability to incorporate Evidence Based Innovation (EBI)Ability to collaboratively work with team to assist and resolve member concerns and complaints.Ability to adhere to New York State Medicaid regulatory guidelines.Understanding of the time tasking tool, person centered plan of car and the NFloc scoring methodology.Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.Strong communication skills, both verbal and written.Proficient in computer skillsValid driver’s license and access to reliable daily transportationAbility to work independently and maintain flexibly in fast paced start up environment. Preferred Skills:Bilingual communication (oral and/or written) is an asset. Level of Supervision:Minimal

Job Summary

JOB TYPE

Full Time

SALARY

$84k-101k (estimate)

POST DATE

10/22/2023

EXPIRATION DATE

03/28/2024

WEBSITE

mvphealthcare.com

HEADQUARTERS

ENDWELL, NY

SIZE

1,000 - 3,000

FOUNDED

1983

TYPE

NGO/NPO/NFP/Organization/Association

CEO

AUGUSTA MARTIN

REVENUE

$1B - $3B

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About MVP Health Care

MVP is a non-profit organization that provides medicare plans and health insurance services to individuals and employees.

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