Managed Care Coordinator jobs in Lawton, OK

• Develop, assess and adjust, as necessary, the care plan and promote desired outcome.
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options.
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of members.
• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs.
• Collaborate with providers, when necessary, to ensure members receive services in-line with current care plans.
• Enter and maintain assessments and pertinent clinical information into various medical management systems.
• Facilitate member access to community based services.
• Perform in home visits.
• Ensure contractual compliance is met.

• For Transition of Care Team:
• Reach members who have been admitted to an in-patient facility and capture them while in-patient, engaging member and continuing outreach Post Discharge.
• Provide quality outreach and education and decrease readmissions to these facilities by means of supporting members with resources to meet their needs in the least restrictive environment.

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