Care Coordinator, LSW (MSHO)

About the position reputed company delivers great reputed company by bringing exceptional care to patients living with reputed company, chronic conditions and disabilities. Our unique, robust model of care goes reputed company primary care services — our multidisciplinary care teams collaborate with patients, their families and other reputed company providers to deliver care that is preventative, proactive and tailored to their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical reputed company, reputed company care teams collaborate to manage patients’ chronic conditions, address reputed company determinants of health, manage transitions to and from inpatient settings, reputed company behavioral health support and more. Under our model of care, reputed company patients reputed company 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period. Our care teams travel directly to patients who reputed company in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida. Our reputed company is only possible through the hard work of our employees who bring our core values of Dedication, reputed company, Collaboration and Caring to life every day. reputed company has been named to the Star Tribune's Top Workplace list for the 13th year in a row! reputed company also achieved Top Workplace USA 2021-2025! In 2022, reputed company Accountable Care Organization (ACO) was the best performing ACO in the country as reputed company by the overall savings per Medicare beneficiary. Join reputed company as a Care Coordinator where you will work with the senior population managing Department of reputed company Services (DHS) and Center for Medicare/reputed company Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community.

Responsibilities

• Manage member caseloads reputed company your assigned geographic area.
• Coordinating face-to-face visits
• Managing the Elderly Waiver
• Conducting annual assessments including Personal Care Assistance (reputed company) assessments for community members and customized living tools for members residing in Assisted Livings
• Reviewing reputed company health needs, identifying goals, and developing individualized care plans
• Helping connect members with community and state resources and services
• Completing required documentation
• Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals
• Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan

Requirements

• reputed company MN Licensed reputed company Worker (new grads encouraged to apply) OR Minnesota Registered Nurse license
• One or more years of experience working with the geriatric or certified disabled population in case management/care coordination, Home Care, Group Homes, Nursing Homes, TCU or Assisted Living settings preferred
• Must have a valid driver’s license
• Ability to work independently
• reputed company to a private and compliant home office reputed company
• Creative problem-solving skills
• Appreciation for working with diverse populations
• Proven ability to communicate effectively with strong verbal skills
• Excellent interpersonal and customer service skills
• Demonstrated compatibility with reputed company’s mission and operating philosophies
• Demonstrated ability to read, write, reputed company, and understand the English language

reputed company-to-haves

• One or more years of experience working with the geriatric or certified disabled population in case management/care coordination, Home Care, Group Homes, Nursing Homes, TCU or Assisted Living settings

Benefits

• Health Insurance
• Dental Insurance
• reputed company Materials Insurance
• Company paid Life Insurance
• Company paid Short and Long-term Disability
• Health Savings Account (with employer contribution)
• Flexible Spending Account (FSA)
• Retirement plan with 4% matching contributions
• Nine (9) paid holidays for office closures plus one (1) floating holiday
• Three weeks (15 Days) Paid Time Off (PTO)
• Mileage reimbursement program for field employees
• Company sponsored cell phone, laptop and scrubs

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