Experience

Sunshine Health

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Lead Care Coordinator



Sunshine Health

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Lead Care Coordinator

  • Dec 2013 - Present

  • Collaborate with senior leadership/care management committees to work on special projects• Ensure compliance of state level contract requirements (AHCA)• Test and implement new processes and procedures by reviewing Job Aides and providing feedback• Lead and develop training efforts of new programs and initiatives• Ongoing support of new and existing staff in need of guidance and education• Build and maintain relationships with nursing facility staff, home health agencies, and other medical providers• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development• Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact• Authorize and coordinate referral for services• Ensure provider services are delivered without gaps and identify functional deficiencies in care plan• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long term care services• Assist member with filing and resolving complaints and appeals• Direct care to participating network providers