Responsible for ensuring the coordination of quality medical services for members.
Requirements
LPN License required
Minimum one year experience
Responsibilities
Completes medical audits appropriately
Maintain effective member/program relations
Ensure a high level of quality assurance regarding members’ medical needs, etc.
Thoroughly documents all member medical/health issues and situations
Maintains program operations and facilitates program development
Cooperate with Agency, legal authorities and Department of Human Services or any part or successor thereof in any inspection or investigation
Ensures compliance with all required state and federally mandated background and exclusion checks including but not limited to criminal history background investigation (fingerprinting), Central Registry, Child Abuse Record Information (CARI), and motor vehicle checks
Ensures compliance with wearing a mask when mandated by State, Federal, and Licensing authorities during a public health crisis/pandemic