Clinical Coordinator RN - Indiana

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As part of a care management team who will manage complex members, the Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical and/or behavioral health needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care. Work Schedule: Monday through Friday 8:00 am to 5:00 pm If you reside within the state of Indiana, you will have the flexibility to telecommute* as you take on some tough challenges.

Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan Provide referrals and linkage as appropriate and accepted by member (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)