Clinical Care Coordinator (Remote)

Required Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).and/or additional states as required or current Social Work license 4 years of any combination of clinical, case management and/or disease/condition management, long-term care, home health, hospice, public health, assisted living, provider operations and/or health insurance experience Clearances as required by specific practice or hospital, as applicable Substitutions None Preferred Certification in Case Management (CCM) BSN or Bachelor’s degree in Social Work or in health, human, or education services 5 years of any combination of clinical, case management and/or disease/condition management, long-term care, home health, hospice, public health, assisted living, provider operations, and/or health insurance experience Skills Ability to work in a virtual environment (e.g., provider offices, facilities and/or member’s homes); accomplishing and coordinating work remotely Proficiency in MS Excel and enhanced data and statistical analysis skills Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization Broad knowledge of the health care delivery system including an understanding of health care costs drivers Excellent verbal and written communication skills including individual and/or group education/training Experience working with the healthcare needs of diverse populations and understanding the importance of cultural competency in addressing targeted populations. Self-directed; self-starter; ability to work successfully with indirect supervision and moderate autonomy Excellent organizational, time management and project management skills Ability to work in a fast paced, high visibility, high performing team environment that requires flexibility Ability to travel locally and work flexible hours in a practice or facility-based settings Ability to communicate effectively in more than one language, preferred Experience working directly with physicians in provider practice settings, members in a home environment or hospital discharge processes. Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Occasionally Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

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