Clinical Coordinator Long Term Support Services

MVP Health Care • US NY Remote, NY

2d • $51,395 - $68,355 • Remote

About The Position

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. The CC will work as a bridge between the customer, the health plan, and the Community based Organizations to create a seamless and positive experience to fulfill their unmet care needs. The CC will build individual capacity by increasing health and wellness self-management skills and sufficiency through a series of activities such as outreach, education, encouragement, social supports, and advocacy. The CC is responsible to evaluate the needs and of the customer in between assessment timeframes and accountable to inform the RN case manager of any changes in member status between formal assessments. The CC will empower the customer to make informed decisions and advocate on their behalf when deemed necessary. The CC will collaborate with a broader team, including but not limited to Case Management, Social Work and the Medical Director. The CC will develop care plan interventions which maintain cost effective care and reduce/resolve challenges or barriers so that the customer may achieve their optimal level of health, independence, safety, and well-being. In this role, the CC will communicate regularly (as determined by the RN Case Manager) with the member to promote member engagement, utilization of Plan benefits to enhance their health and access while supporting overall satisfaction.

Requirements

• Bachelor’s Degree in a Health or Human Service field preferred or 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 l programs.
• Extensive knowledge and experience with Medicaid LTSS benefits, community organizations, social services, and public resources.
• Ability to incorporate Evidence Based Innovation (EBI) practices and information into day-to-day customer engagement.
• Ability to collaboratively work with 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 car and the NFloc scoring methodology.
• Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.
• Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.

Nice To Haves

• Experience in Managed Care and/or working with Medicaid, or Social Service Agencies a plus.

Responsibilities

• Build lasting relationships with members, families, and caregivers.
• Conduct new Member Medicaid Long Term Support Services (LTSS) follow up calls and completion of the members ongoing SDOH assessments.
• Ensure complete communication feedback to/from customers regarding service delivery, their ongoing health status, and other post-enrollment activities.
• 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 services which are culturally appropriate, meet the customers’ stated need for service and enhance the quality-of-service delivery.
• Promote knowledge of health delivery system(s) to empower member 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 within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree