Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.•Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited topsycho-social, physical, medical, behavioral, environmental, and financial parameters.•Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e.during transition to home care, back up plans, community based services).• Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.•Develops, documents and implements plan which provides appropriate resources to address social, physical, mental,emotional, spiritual and supportive needs.• Acts as an advocate for member`s care needs by identifying and addressing gaps in care.• Performs ongoing monitoring of the plan of care to evaluate effectiveness.• Measures the effectiveness of interventions as identified in the members care plan.• Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes.• Collects clinical path variance data that indicates potential areas for improvement of case and services provided.• Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.•Educates providers, supporting staff, members and families regarding care coordination role and health strategies with afocus on member-focused approach to care.• Facilitates a team approach to the coordination and cost effective delivery to quality care and services.•Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effectivedelivery of quality care and services across the continuum.•Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases.• Provides assistance to members with questions and concerns regarding care, providers or delivery system.• Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.• Generates reports in accordance with care coordination goal.Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home visits. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate.Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources.Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services).Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs.Acts as an advocate for member`s care needs by identifying and addressing gaps in care.Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members care plan.Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes. Collects clinical path variance data that indicates potential areas for improvement of case and services provided. Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care.Facilitates a team approach to the coordination and cost effective delivery to quality care and services. Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum.Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases.Provides assistance to members with questions and concerns regarding care, providers or delivery system.Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.Generates reports in accordance with care coordination goal.Other Job RequirementsResponsibilities3-5 years experience in Social Work, Nursing, or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required.Experience in analyzing trends based on decision support systems.Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment.Knowledge of referral coordination to community and private/public resources.Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data.Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking.Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols.Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures.Ability to maintain complete and accurate enrollee records.Effective verbal and written communication skills. Ability to work well with clinicians, hospital officials and service agency contacts.General Job InformationTitleCare Coordinator (Bilingual/ Spanish)Grade22Work Experience - RequiredClinical, QualityWork Experience - PreferredEducation - RequiredGED, High SchoolEducation - PreferredAssociate, Bachelor'sLicense and Certifications - RequiredDL - Driver License, Valid In State - OtherLicense and Certifications - PreferredCCM - Certified Case Manager - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtSalary RangeSalary Minimum:$50,225Salary Maximum:$75,335This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Travel LPN LVN Sr Spec

QTC Management, Inc., Boise

This is a remote position that requires up to 70% regional travel. Candidates must reside in an NLC state - https://www.nursecompact.com/. Hourly Range is determined by Level (commensurate with experience) as follows: Level II - $28.79 - $30.31 (1-3 years of exp.)Level III - $34.23 - $36.04 (3-5 years of exp.)Level IV - $39.72 - $41.82 (5+ years of exp.) Including eligibility for quarterly bonuses. If you are passionate about patient care and love to travel all while maintaining a healthy work/life balance...You may want to explore this opportunity. Leidos QTC Health Services is looking to expand the Travel Team with experienced LPN LVNs in the following states - ID, UT, CO, KS, MO, AR, MS, NC, SC, IN, MA. Travel up to 70% regionally (within your designated Region) to support Mobile Clinical Operations (MCO) and more importantly.....to support our veterans! Ideal candidate will reside in a state that is in the nursing compact and have an active/valid Nurse Licensure Compact (NLC). We are a government contractor and subsidiary of Leidos, a FORTUNE 500 science and technology leader. We are the largest provider of disability (pension) and occupational health examination services. A few of our clients include U.S. Department of Veteran Affairs (VA), Department of Justice, U.S. Department of Labor and several others. With over 90 clinics nationwide, we’ve been serving communities for over 40 years. We offer a competitive compensation package including quarterly bonuses and annual merit review increases, comprehensive health benefits, substantial opportunity for growth, tuition reimbursement and career development. We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent: Competitive compensation and quarterly bonuses Tuition reimbursement A 50% company match of your pre- and post-tax contributions up to 6% of your salary, including immediate vesting of company contributions Generous paid time off (minimum of 14 days/year), as well as 9 paid holidays Access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts An inclusive and ethical work place In this rewarding role you will: Provide assistance to attending clinical provider including: assisting patients, taking medical histories, injections of medications and immunizations, etc. Accurately receive and carry out clinical staff/provider orders. Perform standard diagnostic procedures including but not limited to: EKGs, venipuncture, and preparation and or running of lab specimens for laboratory courier, PFTs, arterial flow Doppler studies, and other clinical diagnostic studies assigned Perform housekeeping functions such as: changing exam room table paper, upkeep of cleanliness of the entire office Chaperone during examinations as required or requested Be responsible for front office duties such as: answering telephones, preparing schedules and confirming appointments, data entry, filing and inventory Verify information through dialogue with clinical provider on all orders/instructions given. Assist in the reconciliation and identification of medications for upload and possible refill in the EMR application Work with providers and operational teams to ensure reports are submitted timely and accurately, may assist in preparation and delivery of reports Be responsible for administrative duties on-site including completion of expense reports in a timely manner following company policy You must have: A High School Diploma, or equivalent GED. Bachelor’s Degree preferred. A minimum of 1+ years of hands on clinical experience in Primary Care, Family Care, Internal Medicine, Urgent Care or ER. Current use and proficiency of/in Manual Vitals, EKGs, Blood Draws, and Venipuncture. A clean and clear LPN/LVN license. An Advanced Cardiovascular Life Support (ACLS) certification required (those willing to obtain prior to hire may apply). A Nurse Licensure Compact (NLC) to operate across the U.S. (prior to hire). A valid U.S. Driver’s License and ability/willingness to drive between work locations. Residecy in a state that is in the nursing compact, and reside within 50 miles (or less) of a major US airport. The ability to successfully pass National Agency Check with Inquiries (NACI) background investigation. *Employment as a Travel LPN LVN will include successful completion of a 90-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos Health QTC Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 90-day probationary period as part of your assimilation to the role. After successfully completing the 90-day probationary period, you will be considered a permanent employee. Pay and Benefits The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. Leidos QTC Health Services. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) LPN/LVN