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Medicaid Care Coordinator
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- We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members.
- All care coordination follows NCQA standards for Complex Case Management (QI5), and based on evidence based guidelines.
- Conduct timely telephonic outreach to members who have chronic conditions to improve health outcomes to include but not limited to:Assist primary care provider office(s) in coordinating care of members with complex medical needs; utilizing appropriate assessments in software.
- Educates members on their specific health care needs and care options, including palliative care, as appropriate.
- Coordinate and collaborate care with external as well as internal Health Partners Plans resources to meet the individual needs of the member identified by the assessment and subsequent outreach;Assist primary care provider offices and specialist offices in coordinating care of members;Perform literature searches and follow up to date clinical guidelines in coordinating member care and services;Actively seek guidance from assigned Medical Director or designee as appropriate.
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