LVN Care Coordinator

LVN Care Coordinator 
Remote, McAllen, TX 

*** This is a Full-Time, Benefits Available, CONTRACT position expected to last 6 months or longer!  ***

$20.00 - $21.00 / Hour is the amount that CareNational reasonably expects to pay someone for this position.

Care Coordinator Job Summary:

• Coordinates follow-up care plans by scheduling needed appointments or enrolling member in related programs
• Assesses member compliance with medical treatment plans, identifying any barriers and coordinating resolution to ensure that members receive appropriate care, at the appropriate level, in a timely manner
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Provides information regarding network providers or general health plan or program information when requested
• As needed, administratively assist with the review of complex cases
• In conjunction with case management nurse and providers, makes recommendations to adjust or modify treatment plan and/or determines need for additional services
• Serves as a liaison between the Medical Management departments (CM/UR/QI, etc) and Health Plan Operations or other internal departments
• Investigate inquiries, follow up on them, and document actions required to service inquiry
• Assists customers in navigating relevant websites and encourage and reassure them to become self-sufficient
• Identifies and refers members to appropriate local, state or federal programs

• Requires an active LVN license and education level of at least a Bachelor’s degree.
• Requires exceptional phone / customer service skills, as well as very strong computer user skills.
• Requires 1 or more years at a Managed Care Organization (Health Plan, IPA/Medical Group, HMO, TPA/MSO, etc).
• Requires basic to intermediary familiarity with Medical terminology (1-3 years direct experience).
• Ability to multi-task duties as well as the ability to understand multiple products and multiple levels of benefits within each product.
• Knowledge of health care delivery system, Medicaid/Medicare and related state programs is required.
• Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
• Must have a minimum of 40 wpm typing with a high level of accuracy.

Salary : $20 - $21