Clinical Coordinator Long Term Support Services

About the role

The Clinical Coordinator (CC) will work directly with customers, their families and/or advocates to ensure that the member has access to MVP resources offered through the Long-Term Support and Services (LTSS) Program. The CC works collaboratively with the RN case manager to support, promote, and facilitate engagement in the LTSS Case Management Program.

Responsibilities

• Build lasting relationships with members, families, and caregivers.
• Conduct new Member Medicaid Long Term Support Services (LTSS) follow up calls and completion of the members ongoing SDOH assessments.
• Ensure complete communication feedback to/from customers regarding service delivery, their ongoing health status, and other post-enrollment activities.
• Promote customer understanding of their diagnosis and treatment plan.
• Aid customers in addressing unmet needs and recommend community-based supports as necessary.
• Facilitate reduction of care disruption or delays in care.
• Facilitate access to services which are culturally appropriate, meet the customers' stated need for service and enhance the quality-of-service delivery.
• Promote knowledge of health delivery system(s) to empower member into self-care management.
• Support patient-centric strategies to improve health and wellness in collaboration with the RN Case Manager.
• Collaborate with MVP Quality Management to support performance measurements.
• Facilitate resolution of real and perceived disruptions of care as the customer enrolls in MVP LTSS program.

Requirements

• Bachelor's Degree in a Health or Human Service field preferred or combination of an Associate's Degree in a health or human services field and 2 years of experience working within managed care or health services environment.
• 5 years of experience as a service coordinator with any population.
• Working knowledge of Medicaid programs.
• Extensive knowledge and experience with Medicaid LTSS benefits, community organizations, social services, and public resources.
• Experience in Managed Care and/or working with Medicaid, or Social Service Agencies a plus.
• Ability to incorporate Evidence Based Innovation (EBI) practices and information into day-to-day customer engagement.
• Ability to collaborate with team to assist and resolve member concerns and complaints.
• Ability to adhere to New York State Medicaid regulatory guidelines.
• Understanding of the time tasking tool, person centered plan of car and the NFloc scoring methodology.
• Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.
• Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.

Qualifications

• Bachelor's Degree in a Health or Human Service field preferred or combination of an Associate's Degree in a health or human services field and 2 years of experience working within managed care or health services environment.
• 5 years of experience as a service coordinator with any population.
• Working knowledge of Medicaid programs.
• Extensive knowledge and experience with Medicaid LTSS benefits, community organizations, social services, and public resources.
• Experience in Managed Care and/or working with Medicaid, or Social Service Agencies a plus.
• Ability to incorporate Evidence Based Innovation (EBI) practices and information into day-to-day customer engagement.
• Ability to collaborate with team to assist and resolve member concerns and complaints.
• Ability to adhere to New York State Medicaid regulatory guidelines.
• Understanding of the time tasking tool, person centered plan of car and the NFloc scoring methodology.
• Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.
• Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.

Skills

• Ability to incorporate Evidence Based Innovation (EBI) practices and information into day-to-day customer engagement.
• Ability to collaborate with team to assist and resolve member concerns and complaints.
• Ability to adhere to New York State Medicaid regulatory guidelines.
• Understanding of the time tasking tool, person centered plan of car and the NFloc scoring methodology.
• Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up.
• Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.

Benefits

• Growth opportunities to uplevel your career.
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team.
• Competitive compensation and comprehensive benefits focused on well-being.
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Pay

$51,395.00-$68,354.75

Schedule

Virtual within NYS