Field Based HSS Clinical Coordinator - McPherson and Harvey Counties, KS (NEWTON)

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The Long-Term Services and Supports (LTSS) Care Coordinator is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that a person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.

This position is a Field-Based position with a Home-Based office. Expected travelling 2-3 days per week within 30-60-mile radius.

If you reside within McPherson and Harvey Counties, KS , you will enjoy the flexibility to telecommute

• as you take on some tough challenges.

Primary Responsibilities :

Assess, plan, and implement care strategies that are individualized by the individual and directed toward the most appropriate, least restrictive level of care

Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services

Manage the person-centered service / support plan throughout the continuum of care

Communicate with all stakeholders the required health - related information to ensure quality coordinated care and services are provided expeditiously to all persons

Advocate for persons and families as needed to ensure the persons needs and choices are fully represented and supported by the health care team

Conduct home visits in coordination with person and the care team, which may include a community service coordinator

Conduct in-person visits which may include nursing homes, assisted living, hospital or home

Serve as a resource for community care coordinator, if applicable

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications :

Bachelor's degree in social work, rehabilitation, nursing, psychology, special education, gerontology, or related human services area

2+ years of experience working within the community health setting in a healthcare role

1+ years of experience working with people with long-term care needs

1+ years of experience working with people receiving services on one of the homes and community-based waivers in KS

1+ years of experience working with MS Word, Excel and Outlook

Ability to travel in assigned region to visit Medicaid members in their homes and / or other settings, including community centers, hospitals, or providers' offices

Must possess a valid US driver's license

Preferred Qualifications :

Licensed Social Worker or clinical degree