STAR KIDS SERVICE COORDINATOR – RN
General Purpose of Job:
The Service coordination program supports maximizing the member’s health, well-being, and independence. The RN will focus on person-centered care planning and will assess all the member’s services and support needs, all assure timely community-based Long-Term Services and Supports (LTSS) to prevent, delay, or reduce the progression of chronic conditions and the need for institutionalization and to maintain the member safety in the community. Service coordination is a collaborative practice that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the member’s health and human service’s needs. It is characterized by advocacy, communication and resource management and promotes quality and cost-effective interventions and outcomes. The service coordinator facilitates clinically appropriate and fiscally responsible patient care through communication and with the physicians involved in the members care, family, care fiver, and all other members of the healthcare team. The service coordination process is holistic in its coverage of the member’s situation and addresses medical, physical, behavioral, emotional, financial, psychosocial, and other needs, as well as that as the support system. These nurses will also work with the Health Homes and high volume primary care providers to assist with coordination of STAR Kids member’s needs. This Service Coordinator will be responsible for all Level I and Level II members. The Service Coordinator is responsible for the acute care authorizations, concurrent review, and collaborating with each member’s Service Coordination Integration Pod (SCIP) for discharge planning, and assists with disease management for the level 1, 2 and 3 members.
The Service Coordinator is responsible for the coordination and efficient utilization of health care resources for the provision of quality care for all patients throughout the continuum of care. The LTSS Case Manager:
Education and/or Experience:
This position can be filled as an RN, Nurse Practitioner, or Physician’s Assistant
Licenses, Certification, Registrations:
Driscoll Children Hosp
McAllen, TX