Care Coordinator

Large managed care company looking for a Care Coordinator with utilization management experience for a contract position.

Work Location: FULLY REMOTE

Pay: $39.75/hr

Contract Dates: 7/1//2024 to 9/30/2024

Hours: M-F, with a weekend rotation 8a-5pm EST/CST Training: M-F 8am-5pm CST (2 weeks)

RESPONSIBILITIES

• Perform clinical and operational processes related to transition / coordination of care and utilization / case management of Post-Acute Care services including but not limited to long term acute care, skilled nursing and inpatient rehab facilities, home health care, care management, and utilization review.
• Responsible for the implementation, evaluation and coordination of the plan of care for all assigned patients. Develops care plan and other case management tools by participating in meetings. Identifies progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care; reviewing the care plan with patients in conjunction with the direct care providers.
• Monitors delivery and utilization of care by completing patient rounds with Medical Directors.

QUALIFICIATIONS

• Current unrestricted Registered Nurse or Licensed Practical Nurse licensure
• Minimum 5 years clinical experience with at least 3 years managed care experience
• 2 – 4 years’ experience in utilization management required
• Home health, SNF, and/or rehab experience desired
• Medicare/Medicaid managed care programs preferred
• Reliable Internet Access/ HIPPA complaint Room - hard wired internet is required