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Intermountain Healthcare Special Needs Program Coordinator Healthy Connections Medicare in Olympia, Washington

Job Description:

The SNP Coordinator is responsible for developing, documenting and implementing a program designed to address the medical, physical, mental, emotional, spiritual, social and supportive needs of the member who is dually eligible for Medicare/Medicaid health coverage. The SNP Coordinator facilitates ongoing program activities as well as provides care management services to program enrollees.

Scope

Includes oversight of a specialized program. May include team leadership.

Job Essentials

Program Integrity: Responsible for development, documentation and implementation of a SNP for SelectHealth's dually eligible enrollees. Is involved in enrollee engagement efforts, care coordination strategies, identification of system issues pertaining to quality of care, clinical outcomes and ongoing evaluation of program effectiveness.

Identification: Identifies eligible enrollees using risk assessment outcomes and stratification tools.

Assessment and Opportunities Identification: Reviews medical records and other relevant referral information to assess the individual's needs and opportunities for improvement through program participation.

Planning: Ensures a multidisciplinary, evidence-based plan of care is developed for all enrollees receiving care management services. The plan includes goals, interventions and determines the type of services and resources available to address the established goals or desired outcomes.

Implementation and Coordination: Supports and educates the enrollee, family and/or caregiver through enactment of the plan. Facilitates collaboration and communication among all involved parties and acts as a resource for members of the interdisciplinary care team.

Evaluation of the Care Plan: Documents and communicates progress toward goal achievement, the enrollee's status and associated outcomes.

Quality Improvement: Initiates and/or participates in data management and quality improvement activities relevant to the program/department.

Professional: Consistently demonstrates an attitude of superior service for internal and external customers. Participates on a variety of forums (i.e., committees, workgroups) to improve the SNP program and/or department processes. Ensures compliance with all program, department, company and regulatory policies, procedures and standards of practice. Maintains a knowledge-base of current clinical technology/methodology.

Job Specifics

  • Benefits Eligible: Yes; Medical, Dental, Vision, Education Assistance. Click here (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) for more details

  • Shift Details: Full time 40hrs/wk. Monday-Friday, 8A-5P.

  • Department/Unit: SelectHealth - Healthy Connections-Medicare-DSNP

  • Additional Details: Primarily remote w/ up to 1 member in-home assessment per week. In-home assessments currently on hold due to COVID.

Minimum Qualifications

Bachelor's degree in Nursing (BSN) from an accredited institution (degree will be verified).

RN with a current license in the State of Utah.

Five years of clinical nursing practice that may include quality assurance, home care, community health or occupational health experience with a minimum of one year of care management or utilization management experience.

  • and -

Demonstrated ability to exercise critical thinking, data management and analytical skills.

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Strong written and verbal communication skills.

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Intermediate knowledge of word processing and ability to produce reports.

Preferred Qualifications

Certification in Case Management (CCM).

Knowledge of government programs (i.e., Medicare; Medicaid).

  • and -

Health insurance product knowledge.

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Experience working with third-party payers.

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Demonstrated leadership skills.

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The ability to work independently, be self-motivated, demonstrate a positive attitude and exercise flexibility in a rapidly changing work environment.

Physical Requirements:

Ongoing need for employee to see and read information, assess member needs, and view computer monitors.

  • and -

Frequent interactions with providers, members that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues accurately

  • and -

Manual dexterity of hands and fingers, this includes frequent computer use and typing for documenting member care, accessing needed information, etc.

Location:

Valley Center Tower

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

Equal Opportunity Employer

Intermountain Healthcare is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability or protected veteran status. Women, minorities, individuals with disabilities, and veterans are encouraged to apply.

Thanks for your interest in continuing your career with our team!

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