Clinical Coordinator

Description:

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. The CC will work as a bridge between the customer, the health plan, and the Community based Organizations to create a seamless and positive experience to fulfill their unmet care needs. The CC will build individual capacity by increasing health and wellness self-management skills and sufficiency through a series of activities such as outreach, education, encouragement t, social supports, and advocacy. The CC is responsible to evaluate the needs and of the customer in between assessment timeframes and I accountable to inform the RN case manager of any changes in member status between formal assessments. The CC will empower the customer to make informed decisions and advocate on their behalf when deemed necessary.

The CG will collaborate with a broader team, including but not limited to Case Management, Social Work and the Medical Director. T he CC will develop care plan interventions which maintain cost effective care and reduce/resolve challenges or barriers so that the customer may achieve their optimal level of health, independence, safety, and well-being. In this role, the CC will communicate regularly (as determined by the RN Case Manager) with the member to promote member engagement, utilization of Plan benefits to enhance their health and access while supporting overall satisfaction.

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.
• Assist 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.
• The CC will perform other duties as assigned by management.