Union County

Professional Management Enterprises•Richmond, IN

10d•$42 - $44•Remote

About The Position

BKG Enterprises is seeking an LTSS Service Coordinator - RN Clinician to manage members' cases and coordinate care for people with chronic illnesses, co-morbidities, and disabilities. The role includes providing supervision and direction to non-RN clinicians and ensuring compliance with applicable state laws and contracts. The coordinator conducts clinical assessments, develops individualized care plans, and arranges services to address members' needs across the care continuum. The position is based in Indiana and requires approximately 50% travel, with mileage reimbursable; all other work is remote. The schedule is Monday through Friday, 8 a.m. to 5 p.m. The stated pay is $43.50 per hour ($90,480 per year).

Requirements

Registered Nurse (RN) with at least 3 years of experience 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 providing case management and care coordination services.
Experience with specialized populations such as older adults, 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.
State-specified certification may be required based on state law and/or contract.

Nice To Haves

MA/MS in Health or Nursing.

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' physical health, behavioral health, social services, and long-term services and supports needs.
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 could benefit from alternative levels of care or waiver programs.
Facilitate authorizations and referrals to help implement member care plans.
Coordinate with Medical Directors, Physician Advisors, and Inter-Disciplinary Teams on care management treatment plans.
Direct and/or supervise non-RN clinicians, assign tasks appropriately, and regularly review performance.