Special Needs Plan Care Coordinator
This position is responsible for implementing a care management program that focuses on improving the health status of PrimeWest Health members, both individually and as a community, while reducing health care costs. The Special Needs Plan Care Coordinator will achieve this through following Centers for Medicare & Medicaid Services (CMS) rules/regulations related to Special Needs Plans (SNPs) and facilitating the coordinated and integrated delivery of health and wellness services provided to PrimeWest Health members by PrimeWest Health’s contracted health care and human services providers. The Special Needs Plan Care Coordinator is responsible for providing a coordinated care continuum for members enrolled in PrimeWest Health’s Special Needs BasicCare (SNBC), Minnesota Senior Care Plus (MSC+), Prime Health Complete (HMO SNP), and PrimeWest Senior Health Complete (HMO SNP) programs. This position is also responsible for fostering collaborative relationships with county partners and providers and collaborating with county case managers and other PrimeWest Health care coordinators to improve care throughout the continuum of health care services.
Educational Requirements and Required Qualifications
Graduate of approved school of nursing with BS/MS preferred and expertise in assigned area of responsibility.
Demonstrated knowledge of, and proficiency in, Word, Excel, and Outlook required. Experience in working with electronic care management documentation systems is a plus. Use of standard office equipment required.
Flexibility and ability to handle multiple tasks. Ability to work effectively with a variety of people both within and outside of the organization.
Ability to sit at a desk or computer station most of the time. Ability to occasionally lift and/or carry such articles as file folders and small boxes up to 20 pounds. Some travel required, possibly overnight.
This position offers the possibility for remote or hybrid work.