- Ensure the responsible delivery of comprehensive services to enrollees, advocating effectively to resolve any issues they may encounter.
- Actively participate in multi-disciplinary team meetings to collaboratively assess and plan coordination efforts, ensuring the provision of quality care.
- Provide education and resources to beneficiaries, families, and providers, empowering them with the knowledge needed to make informed decisions about their health.
- Proactively engage in quality management program activities, contributing directly to the achievement and ongoing maintenance of program accreditations.
- Assist in the achievement of contractual obligations, including the cost-effective delivery of services and adherence to budgetary requirements, under the guidance of the Lead, Supervisor, or Manager.
- Accurately report work hours and expenses incurred during the course of position duties in a timely manner.
- Active, unrestricted current state licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN), or a Master's of Social Work (MSW) from an accredited university.
- RNs must have a minimum of 2 years of pediatric experience, while LPNs require a minimum of 4 years of pediatric experience. MSWs need a minimum of 1 year of related professional experience.
- Knowledge and familiarity with public sector health coverage systems, such as Medicare and Medicaid.
- Understanding of the principles, ethics, and precepts of care management service delivery.
- Proficiency in computer skills, including care management applications, Internet/Web usage, and Microsoft Office (Word, Excel).
- Strong prioritization and organizational skills, enabling effective management of multiple tasks and responsibilities.
- Ability to demonstrate purposeful and outcomes-directed critical thinking within daily operational activities.
- Capacity to receive verbal and written feedback professionally and implement performance and productivity improvements as needed.
- Skill in interpreting real-time and historical information to inform decision-making and optimize care coordination efforts.
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Care Coordinator - California, United States - KEPRO
Description
Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today's complex healthcare challenges. Our culture is fueled by passion and driven by purpose.
Position Overview
Join our team as a Care Coordinator and make a meaningful impact by providing comprehensive care coordination to enhance the delivery of our care management program. In this role, you will play a crucial part in supporting the well-being of our plan enrollees by recommending healthy lifestyle choices and effectively mitigating the short- and long-term effects of chronic illnesses. Your dedication to optimizing patient care and promoting wellness will contribute significantly to improving the quality of life for our members.
Job Responsibilities:
Required Qualifications, Skills, Knowledge and Experience
Singularly Focused. Mission Driven.
Accelerating Better Outcomes is our Mantra We are mission-driven to innovate health solutions that deliver maximum value and impact.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The compensation for this role is $20.00 to $21.00 per hour. Based on our compensation program, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
EOE AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search
The Acentra Health Talent Acquisition Team
