Care Coordinator

Care Coordinator

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

The care coordinator will perform the following essential activities of care coordination: Assessment The care coordinator will assess information about a members' medical care needs, social situation and functioning to identify individual needs in order to identify members medical needs and develop a plan of care that will address those needs. Planning The care coordinator will involve the enrollee and other significant parties in the determination of specific objectives, goals, and actions as identified through the assessment process. The care coordinator will use the information to develop a plan specific to the enrollee's medical needs. Implementation The care coordinator will facilitate and execute specific interventions that will lead to accomplishing the goals established in the plan of care to ensure the member's health, safety, and welfare. Coordination The care coordinator will organize, integrate, and modify the resources necessary to accomplish the goals established in the plan of care. Monitoring The care coordinator will gather sufficient information from all relevant sources in order to determine the effectiveness of the plan of care. Evaluation At appropriate intervals, the care coordinator will determine the plan of care's effectiveness in reaching desired outcomes and goals. This process might lead to a modification or change in the plan of care in its entirety or in any of its component parts.

Qualifications

Education Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience Minimum of 5 years healthcare w/ 3 years clinical experience required. 2 years' experience in Utilization Management, Case Management or Managed Care. Skills/Certifications Must be PC literate with extensive knowledge of Windows and Microsoft Office. Must be able to pass Windows navigation test. FACETS and Care Advance experience preferred. Exceptional skills of independence, organization, communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem solving ability Ability to work within specified timeframe requirements. Valid Driver's License TB Skin Test (applies to coordinators that work in the field) Certification as a Case Manager (CCM) preferred; required to take examination when eligible. Milliman's Certification Preferred Must be willing to obtain within 1 year from date of hire. Position requires 24 months in role before eligible to post for other internal positions