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Care Coordinator – LPN/RN – Program Associate – Clover Care Services

Care Coordinator – LPN/RN – Program Associate – Clover Care Services

CompanyClover Health
LocationJackson Township, NJ, USA
Salary$22 – $32
TypeFull-Time
Degrees
Experience LevelJunior, Mid Level

Requirements

  • Current and valid Compact LPN or RN license (required)
  • High School Graduate/GED/Equivalent Work or Vocational/Technical School/Diploma (required)
  • Current Basic Life Support (BLS) (required)
  • At least 2 years of related work experience
  • Valid driver’s license and access to a vehicle (required)
  • Proficient in computer use and experience using EMRs, Athena preferred
  • Comfortable working with members of diverse social, ethnic, and cultural backgrounds

Responsibilities

  • Initiate outreach to newly identified and existing targeted Clover Medicare Advantage (MA) plan members
  • Introduce the DCM program, explain benefits and conduct needs assessments
  • Collaborate with members to address any barriers to completing appointments including transportation, scheduling and overall provider satisfaction
  • Provide education to members on dialysis adherence
  • Build relationships with dialysis providers to track completed and missed appointments
  • Follow-up with members for missed appointments to understand reasons and offer assistance as needed including transportation services and scheduling assistance
  • Identify chronically non-adherent members and engage to uncover barriers
  • Schedule follow-up appointments with CCS providers as needed
  • Refer members to Supportive Care or Behavioral Health for clinical decline or reconsideration of hemodialysis continuation
  • Document assessments in the electronic medical record and maintain accurate records in the program tracker
  • Work collaboratively with internal and external resources including providers and behavioral health specialists, pharmacists, nephrologists, and dialysis center care managers
  • Monitor reports and dashboards to identify trends and discover opportunities for improvement
  • Take on other projects, duties and responsibilities as may be assigned

Preferred Qualifications

  • Case management or care coordination experience
  • Able to communicate fluently in English and Spanish, both orally and in writing (preferred)