LTSS Service Coordinator - RN Clinician - Northern Indiana

Professional Management Enterprises•South Bend, IN

10h•Hybrid

About The Position

BKG Enterprises is a leading healthcare organization committed to providing comprehensive care coordination services to its members. The company focuses on optimizing member healthcare across the care continuum, ensuring individuals with chronic illnesses, co-morbidities, and disabilities receive the necessary support. The LTSS Service Coordinator - RN Clinician will manage members' cases, provide supervision and direction to non-RN clinicians, and ensure compliance with state laws and contracts. This role involves conducting clinical assessments, developing individualized care plans, and coordinating care to meet diverse member needs. The position requires approximately 50% travel, with mileage being reimbursable, and all other work is remote.

Requirements

Registered Nurse (RN) with a minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role.
Current, unrestricted RN license in Indiana.
Training, expertise, and experience in providing case management and care coordination services for individuals, including specialized populations such as older adults and/or individuals with physical or developmental disabilities and/or individuals determined to have a serious mental illness (SMI).
Strong communication, organizational, and problem-solving skills.
Ability to work effectively in a collaborative team environment.

Nice To Haves

MA/MS in Health/Nursing preferred.
State-specified certification based on state law and/or contract may be required.

Responsibilities

Manage members' cases within the scope of licensure, providing supervision and direction to non-RN clinicians.
Conduct telephonic or face-to-face clinical assessments to identify and evaluate members' needs, including physical health, behavioral health, social services, and long-term services and supports.
Identify members at high risk for complications and coordinate care in collaboration with the health care team.
Develop, monitor, evaluate, and revise individualized care plans to optimize member health across the care continuum.
Establish short- and long-term goals in collaboration with members, caregivers, family, and physicians.
Identify members who would benefit from alternative levels of care or waiver programs.
Assist in the implementation of member care plans by facilitating authorizations/referrals for services.
Interface with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans.
Direct and/or supervise the work of non-RN clinicians, ensuring tasks are assigned appropriately and performance is reviewed regularly.