About The Position

Find your purpose at CentraCare working as a Care Coordinator Registered Nurse or Licensed Social Worker! In this role, you will work with specific patient populations to support payer contract requirements and achieve identified quality outcomes. CentraCare is a delegate for Medica Minnesota Senior Health Options (MSHO) Care Coordination, and this position will provide care coordination for the Medica MSHO population. As a Care Coordinator, you will coordinate the provisions of all health and long-term care services covered by the payer programs, including Medicare, Medicaid and waiver program services. You will partner with patients, families, providers, payers and community resources to ensure appropriate services are in place. You will serve as a liaison between the payer and health system to support seamless, patient-centered care. You will assess eligibility and identify services for patients with long-term care needs, including nursing home placement when appropriate. You will advocate for patients and collaborate with care teams to promote quality outcomes and meet payer requirements.

Requirements

  • Registered Nurse Graduate of an accredited school of nursing with a Bachelor’s Degree or higher in nursing
  • Current licensure as a Registered Nurse (RN) in the State of Minnesota
  • Certified MnChoice Assessor within 30 days of employment
  • Current American Heart Association (AHA) BLS Healthcare Provider card
  • Valid Minnesota driver’s license, a driving record in good standing, reliable transportation and insurance liability coverage meeting CentraCare’s standards required
  • Bachelor’s Degree in Social Work
  • Licensed Social Worker (LSW) in the state of Minnesota
  • Certified MnChoice Assessor within 30 days of employment
  • Minimum of two years’ experience as a Social Worker
  • Valid Minnesota driver’s license, a driving record in good standing, reliable transportation and insurance liability coverage meeting CentraCare’s standards required
  • Minimum of two years’ experience as a Registered Nurse

Nice To Haves

  • Experience in working with seniors, those with disabilities and mental health
  • Experience with Medical Assistance and Medicare including home care community based waiver programs
  • Understanding of the services and needs of the community preferred.

Responsibilities

  • Coordinate the provisions of all health and long-term care services covered by the payer programs, including Medicare, Medicaid and waiver program services.
  • Partner with patients, families, providers, payers and community resources to ensure appropriate services are in place.
  • Serve as a liaison between the payer and health system to support seamless, patient-centered care.
  • Assess eligibility and identify services for patients with long-term care needs, including nursing home placement when appropriate.
  • Advocate for patients and collaborate with care teams to promote quality outcomes and meet payer requirements.

Benefits

  • Mileage reimbursement
  • medical
  • dental
  • PTO
  • retirement
  • employee discounts
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