The Dual Eligible Care Coordinator - RN is responsible for participation in the completion of the initial and annual assessments. and in the development and management of member care plans by reviewing the medical history, utilization patterns, compliance, prescriptions and psychosocial history of the plan members. The Dual Eligible Care Care Coordinator - RN also offers expertise in ongoing counseling and follow-up of members who quality for case management.
Scope of Position
The Dual Eligible Care Coordinator - Rn is a member of the interdisciplinary care team (ICT), ensures that the dual-eligible member has an individualized care plan (ICP); that the ICP is reviewed and approved by the ICT per policies and procedures and updates the plan as needed for changes in status. The Dual Eligible Care Coordinator-RN reviews the Peoples Health databases to ensure that assessments and ICPs document problems, develop measurable goals, and interventions for all issues identified in the health risk assessment (HRA). The Dual Eligible Care Coordinator-RN will assist in preparation of ICT meeting agenda(s) and follow-up to referrals from the ICT. The Dual Eligible RN Care Coordinator will also have responsibilities to maintain and ensure alignment with the mission of Peoples Health as outlined in the Mission Statement.
As part of a multidisciplinary care coordination team, the principal responsibilities are:
Every employee is expected to meet Peoples Health minimum requirements: