The SPAN Center: Capital Area Agency on Aging logo
The SPAN Center: Capital Area Agency on Aging

The Span Center is a trauma-informed, person-centered agency dedicated to fostering a safe and supporting environment for both our employees and the communities we serve. The Span Center prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

Dementia Care Management Coordinator

Location

United States

Posted

81 days ago

Salary

$46.8K - $53.3K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Dementia Care Management Coordinator

The SPAN Center: Capital Area Agency on Aging

Job DetailsJob Location: Home Office - Richmond, VA 23224Position Type: Full TimeSalary Range: $46,800.00 - $53,300.00 SalaryJob Overview: Implements the Virginia Dementia Care Management (DCM) program in collaboration with the Dementia Care Management (DCM) Navigator. Serves as qualified resource for Dementia education, care coordination and advocacy within the Agency. Supervision: Performs work under the direct supervision of the Dementia Care Management (DCM) Program Manager. Duties/Responsibilities: Supports referral and service delivery of The Span Center programs for DCM clients and VCU GUIDE Clients Performs initial intake screenings for DCM program from community, accepts internal referrals from agency to assess for DCM program eligibility. Works closely with DCM Navigator and VCU GUIDE team to ensure comprehensive and robust support for dementia dyads (person living with dementia and their care partner) Delivers Dementia Friendly training, DCM outreach, and dementia education to promote awareness, risk reduction, encourage early detection, brain health, and dementia resources throughout the community Works with the Caregiver Support program to develop and implement dementia-specific caregiver skills training (communication, home safety, community resources, advance care planning, senior law days, etc.) Provides Caregiver Support resources to caregivers. Maintains client reporting for DCM clients in PeerPlace and other DARS required reports, including creating profiles of referrals, documenting contact units, and uploading care plans. Works with DCM Navigator and Manager to ensure compliance with DCM Standards in delivery and administration Actively participates in staff professional development programs. Attends meetings and training sessions to enhance knowledge and skills. Performs other duties as assigned. Participates in advocacy efforts to support and address the diverse needs of the communities we serve. QualificationsKnowledge, Skills, and Abilities: Strong knowledge of dementia care practices, aging, and neurological disorders. Knowledge of aging and/or the impact of disabilities and illness on aging; local human and health service delivery systems, including support services. Ability to demonstrate a positive regard for individuals, their caregivers, and their families; be persistent and remain objective; work as a team member, maintaining effective inter-and intra-agency working relationships; work independently, performing position duties under general supervision; communicate effectively, verbally and in writing; and develop a rapport and to communicate with persons from diverse cultural backgrounds. Ability to facilitate group learning, public speaking, and community engagement. Education and Experience: Graduation from an accredited college or university with major course work in human services, gerontology, or a related field is required. Two years’ experience in direct services human services with dementia care focus is preferred. The employee must pass background check (Central Criminal Records Exchange (CCRE) through the Virginia State Police). Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Prolonged periods of sitting behind a vehicle for travel time within our planning district. Must be able to lift up to 15 pounds at times. The Span Center is a trauma-informed, person-centered agency dedicated to fostering a safe and supportive environment for both our employees and the communities we serve. The Span Center prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.

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Teletherapist

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Modern behavioral care from hospital to home.

Therapist81 days ago
Full TimeRemoteTeam 501-1,000Since 1999H1B No Sponsor

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United States
Full TimeRemoteTeam 10,001+Since 1987H1B Sponsor

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$115K - $149K / year
Job Closed
Full TimeRemoteTeam 10,001+Since 1888H1B Sponsor

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United States
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Job Closed
BlueCross BlueShield of South Carolina logo

Managed Care Coordinator I

BlueCross BlueShield of South Carolina

South Carolina’s largest and oldest health insurance company

Therapist81 days ago
Full TimeRemoteTeam 10,001+Since 1946H1B No Sponsor

Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. Description Location This position is full time (40 hours/week) Monday-Friday from 8:30am – 5:00pm EST and will be fully remote within South Carolina. What You’ll Do: - Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. May initiate/coordinate discharge planning or alternative treatment plans as necessary and appropriate. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. - Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). - Provides patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. - Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. - Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. 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Analytical or critical thinking skills. - Ability to handle confidential or sensitive information with discretion. - Required Software and Tools: Microsoft Office. - Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, unrestricted LMSW (Licensed Master of Social Work) licensure from the United States and in the state of hire, OR active, unrestricted licensure as Counselor, or Psychologist from the United States and in the state of hire. We Prefer That You Have the Following: - Preferred Education: Bachelor's degree- Nursing. - Preferred Work Experience: Work experience in healthcare program management, utilization review, or clinical experience in defined specialty. Specialty areas are oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery. - Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. - Knowledge of contract language and application. - Thorough knowledge/understanding of claims/coding analysis/requirements/processes. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. - Subsidized health plans, dental and vision coverage - 401k retirement savings plan with company match - Life Insurance - Paid Time Off (PTO) - On-site cafeterias and fitness centers in major locations - Education Assistance - Service Recognition - National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

United States
Job Closed