MVP Health Care logo
MVP Health Care

MVP Health Care is a not-for-profit regional health benefits company offering high-quality insurance coverage to communities in Vermont and New York. Working si

Clinical Coordinator Long Term Support Services

Location

United States

Posted

3 days ago

Salary

$51.4K - $68.4K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Coordinator Long Term Support Services

MVP Health Care

Role Description The 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. - Act as a bridge between the customer, the health plan, and Community-based Organizations to create a seamless and positive experience. - Build individual capacity by increasing health and wellness self-management skills through outreach, education, encouragement, social supports, and advocacy. - Evaluate the needs of the customer between assessment timeframes and inform the RN case manager of any changes in member status. - Empower the customer to make informed decisions and advocate on their behalf when necessary. - Collaborate with a broader team, including Case Management, Social Work, and the Medical Director. - Develop care plan interventions that maintain cost-effective care and reduce/resolve challenges or barriers. - Communicate regularly with the member to promote engagement and utilization of Plan benefits. Qualifications - Bachelor’s Degree in a Health or Human Service field preferred, or a combination of an Associate’s Degree in a health or human services field and 2 years of experience working within managed care or health services environment, or 5 years of experience as a service coordinator with any population. - Working knowledge of Medicaid 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. - Ability to incorporate Evidence Based Innovation (EBI) practices into customer engagement. - Ability to collaboratively work with a 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 care, and the NFloc scoring methodology. - Highly organized; capacity to work independently and manage multiple priorities appropriately. - Ability to communicate independently and directly with members, providers, and staff with calmness, assertiveness, diplomacy, and in a non-confrontational manner. Requirements - Build lasting relationships with members, families, and caregivers. - Conduct new Member Medicaid Long Term Support Services (LTSS) follow-up calls and complete ongoing SDOH assessments. - Ensure complete communication feedback to/from customers regarding service delivery and ongoing health status. - 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 culturally appropriate services that meet the customers’ stated needs. - Promote knowledge of health delivery systems to empower members 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. Benefits - Growth opportunities to uplevel your career. - A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences. - Competitive compensation and comprehensive benefits focused on well-being. - An opportunity to shape the future of health care by joining a recognized team. Company Description MVP Health Care is committed to creating healthier communities by nurturing a healthy workplace. We strive to create space for individuals from diverse backgrounds to have a voice and thrive.

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