Superior HealthPlan (Superior) is a managed health care company that provides health care for many Texans. Superior works with the State of Texas Health and Human Services Commission (HHSC) to bring you STAR (Medicaid), Children’s Health Insurance Program (CHIP), CHIP Perinatal Care, and STAR+PLUS in many cities and counties across Texas. Our sister company, Superior HealthPlan Network, manages the STAR Health program on a statewide basis. Below is information on the programs offered by Superior HealthPlan in partnership with the State of Texas.

Description

 Position Purpose: Collaborate with medical, behavioral, and social support staff in conducting screening and risk assessment interventions based on program guidelines 

Position Responsibilities: 

• Identify special needs members through the completion of health screens and other resources, and advise, assist and authorize appropriate services
• Review and evaluate all requests for specialized and private care including nursing services
• Act as a clinical resource to complex medical cases and individual service plans
• Act as a liaison between members, providers and pharmacies and review and follow-up on medical referral calls
• Coordinate with the Discharge Planning teams, Case Management, and providers for difficult member placements, post hospital discharge
• Ensure follow up on care and service coordination on various services
• Assess service needs and determine support available to members
• Oversee the development and modify service plans in conjunction with members and other interdisciplinary team members
• Serve as clinical consultant for the Service Coordination team
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• RN License
• LTC or Home Health experience
• Experience working with the Aged, Blind and Disabled population (SSI patients on disability
•  Experience coordinating services and knowledge of community/government-funded services in the area

URGENT JOB!! Please reach out to me ASAP at 321-574-6539