Service Coordinator II

Location: Eagle Pass, TX
Service Coordinator II
 
Joining this team means you'll be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. The group is a fast, agile, customer-focused organization with a commitment to implementing the latest technologies.
 
Our client serves more than 55 million managed care members through their portfolio of high-quality commercial and government sponsored healthcare programs. The broad offering of programs that they provide has helped them to build both capacity and capability to successfully navigate a changing healthcare environment, while continuing to offer better health outcomes at lower costs.
 
Position Purpose:
Determine needs and eligibility of members for various services through field-based collaboration with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions per program guidelines.
 
Job Description:
  • Conduct in-home face to face member assessments and telephonic outreach
  • Document assessments and contacts, develop and approve service plans, and ensure authorizations are completed
  • Conduct follow-up contacts or in-person visits to determine if services meet member’s needs
  • Assess member’s medical, safety and support service needs and coordinate the delivery of services
  • Provide education related to member’s health condition and care
  • Assist with modification and management of care plans under the direction of Registered Nurse in conjunction with member, medical consenter or caregiver, Department of Family and Protective Services caseworker and family, if applicable, as well as the managing physician
  • Maintain case record documents and enter information in an automated system, establishing a record for each member receiving services
  • Coordinate member care through collaboration with community outreach and member advocates, assigned service coordinators, and/or case managers
  • Educate providers and community resources on program components and available support services
  • Educate members to foster compliance with program and positively impact outcomes
  • 75% travel required throughout Maverick County
 
Qualifications:
Education/Experience:
  • Bachelor’s degree in Social Work, Health Services, Behavioral Science or related field, or equivalent experience.
  • 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions.
  • Other state specific requirements may apply.
 
Preferred Skills/Experience:
  • N/A
 
Licenses/Certifications:
  • LPN, LVN, LCSW or RN preferred.
  • Current state driver’s license.
 
Our client offers options that allow you to do more than just plan for retirement. Their programs allow shared success with employees.
  • 401(k) with company match
  • Employee stock purchase plan
  • Training and Learning Opportunities/Tuition Reimbursement/Educational Assistance
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
Equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 
 
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 
https://www.indeedjobs.com/proenlist?hl=en_US
 
 
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