Care Coordinator/ Licensed Practical Nurse (LPN)for LTSS Waiver/ Home Health in Culpeper, Fauquier, Madison, Orange, Rappahannock, VA

Overview

Sentara Health Plans is hiring a Care Coordinator/LPN for LTSS Waiver/Home Health in Culpeper, Warrenton, Fauquier, Catlett, Madison, Orange, Brightwood, Bealeton, Washington, Rappahannock County, Gordonsville, VA!

Job Responsibilities

• Facilitates, implements, and coordinates the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Member Outreach Program and ensures compliance with immunization and EPSDT examinations.
• Serves as a health plan resource for EPSDT/Well Child Program and all childhood exams, screenings, and vaccinations recommended by DMAS and per HEDIS measures.
• Maintains a tracking system to identify new enrollees and children’s non-compliance with EPSDT periodicity and immunization schedules.
• Ensures access to periodic preventive health care for members under the age of 21 years by promoting and coordinating child wellness in alignment with DMAS, health plan, and other professional organization initiatives.
• Conducts notifications of periodic screening requirements; develops educational materials and provides training to members/providers.
• Trades members with special healthcare needs (CSHN) using appropriate screening tools and assessments.
• Provides complex case management to members with complex needs.
• Performs related field work and community engagement travel as needed to increase EPSDT awareness and compliance.
• May assist with EPSDT policies/procedures and completing service authorizations.

Requirements

• Associate's degree in Nursing preferred.
• Bachelor's degree in Health & Human Services-related field or related experience in lieu of education accepted.
• Licensed Practical Nurse (LPN) or Bachelor's prepared health professional strongly preferred.

Education

Associate's degree in Nursing preferred. Bachelor's degree in Health & Human Services-related field or related experience in lieu of education accepted. Licensed Practical Nurse (LPN) or Bachelor's prepared health professional strongly preferred.

Experience

• 3 years Managed Care experience REQUIRED.
• Case Management experience preferred.
• Long-Term Services and Supports (LTSS) waiver and Home Health experience preferred.
• Behavioral Health experience is secondary.

Benefits

• Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000 Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Careers at Sentara Health

Company Information

• Equal Opportunity Employer
• Tobacco-Free Environment
• Remote Work Available in: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming