Field Service Coordinator

You will meet members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes.

Responsibilities include:

Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches.

Contacts members both telephonically or in-person. This contact is to establish goals and priorities, evaluate resources, develop a plan of care, and identify LTSS providers and community partnerships. The goal of these partnerships is to provide a combination of services and supports that best meet the needs and goals of the member and caregiver. We achieve this through person-centered thinking approaches.

Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP)

Support members through navigation of their LTSS and related environmental and social needs Use available information about member to prevent the need for administration of duplicative assessments.

Focus on supporting members or caregivers in accessing long-term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs.

Assist members in maintaining Medicaid eligibility

Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holistic service delivery positive member outcomes.