Which Services Comes Under Technical Services Jobs in Usa

Summary: The Service & Sales Coordinator supports customers and Field Service Engineers by using Salesforce Systems, SAP, and in-house tools to manage the service requests such as Startup services, maintenance, installations, including all needed to invoice the Service and Sales orders.

Essential Duties and Responsibilities include the following.

(Other duties may be assigned)

• Manage, submit, and follow up on quotations and orders for field service activities, AGAR MPFM’s bulk sales, and related spare parts.
• Coordinate service execution, including scheduling resources, tools, and other necessary elements for the normal execution of service activities.
• Provide technical assistance to the Field Service Engineer during service execution.
• Review and approve expenses and time sheet reports.
• Direct field service personnel who perform on-site routine services, including installation, maintenance, and repair.
• Create and validate technical specifications, track execution, and fulfill AGAR MPFM’s wholesale orders.
• Interface with management regarding service coverage and technical training.
• Complete the entire process for service repair orders.
• Coordinate and execute service activities in the field with the Field Service Engineer (FSE) for AGAR MPFMs in well testing operations.
• Process, invoice, and follow up on bulk sales orders.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Bachelor’s degree or two years related experience.

Language Ability:

The ability to communicate effectively with customers, engineering team, business clients and field support personnel is required.

Math Ability:

General math skills are required.

Computer Skills:

To perform this job successfully, an individual should have knowledge of computer programs: Microsoft Word, Outlook, Excel, PowerPoint, SAP, Salesforce. Training is available but must possess ability to learn programs and work independently on them after training.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Benefits:

Employer Paid Health Insurance, HSA/FSA, 401K, Dental, Vision, PTO

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. May be required to lift up to 50lbs.

Salary Range:

$20-$26 Hourly DOE, Full-Time

Benefits:

Employer Paid Health Insurance, HSA/FSA, 401K, Dental, Vision, PTO

Taylor Sudden Service provides exclusive worldwide distribution of genuine Taylor OEM parts and forklift service for equipment designed, manufactured, and marketed by Taylor Machine Works, Inc. Backed by a network of parts and service centers, nationwide dealer support organizations, and factory-trained service technicians, SSI is committed to providing the best parts and service support in the industry. We offer training schools for our service technicians on a regular basis, ensuring the best possible service to Taylor Machine Works’ customers. Sudden Service, INC (SSI) is a subsidiary of the Taylor Group of Companies, a third-generation family-owned business based in Louisville, MS since 1927.

Job Summary

We are seeking a skilled and customer-focused Field Service Mechanic to join our team. This position reports to the Service Supervisor and involves servicing heavy equipment in assigned territories and occasionally assisting in other areas. The role plays a key part in maintaining customer satisfaction and supporting repeat business through quality service and support.

Key Responsibilities

- Plan work and travel schedules with the Service Supervisor, prioritizing customer needs.

- Diagnose and repair mechanical issues, replace defective parts, and install new assemblies.

- Perform inspections and operational tests on equipment during delivery and after repairs.

- Maintain accurate records of service calls, parts used, travel time, and mileage for billing.

- Build strong customer relationships through routine visits, training, and responsive service.

- Promote company image by maintaining a clean and professional appearance and service vehicle.

- Train new service personnel and lead teams on large-scale repairs or assembly projects.

Qualifications:

-Incumbent must have a valid driver’s license and a good driving record, since employee will be driving company owned vehicle and will be covered under corporate insurance which has strict coverage requirements.

-Willingness to travel and work independently in the field.Incumbents will be required on occasion to stay overnight at out-of-town locations.

- Extensive experience as a general mechanic, with additional skills in welding and hydraulics.

- Ability to read and interpret blueprints, wiring diagrams, and technical manuals.

- Strong problem-solving skills and mechanical ingenuity.

-Excellent verbal and written communication skills.

-Basic computer skills required.

-This job requires stooping, bending, climbing, and the capability of lifting up to 50 pounds.

Education and Experience:

• Some vocational or formal schooling in hydraulics and diesel engine repair.
• Three years on the job experience in diesel mechanics and hydraulics. Schooling in these fields could substitute for some of the job experience.
• While it is not a requirement that the FSM pass the AWSD14 Welding Test, the incumbent is required to pass the tacker test. The FSM is encouraged to practice and improve welding skills to pass the AWSD14 Welding Test to be considered for future promotions.

Benefits:

• Medical/Prescription
• Dental
• Vision
• Vacation
• 10 Holidays
• 401K
• Life Insurance

Hybrid: Applicants must be a California resident as of their first day of employment.

PRINCIPAL RESPONSIBILITIES:

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, fax, letters, chat and phone calls. Timely responses to all member communication are essential. Must effectively prioritize and flex the workload as new communication and tasks are submitted. Identify the caller's needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible. Accurately and consistently document all conversations in the electronic database. This position is a liaison between the plan, the provider network, and other community agencies. The MSR positions are flexibly staffed classification and work is expected to be performed minimally at the MRS II level. However, the initial selection will be made at the entry level MSR I. Our more advanced level position of the series is the MSR III who will be required to perform a variety of complex matters.

Member Services Representatives are under the direction of a Member Services Supervisor, Manager and Director, and service our members through our call center as well assisting other departments with responses to member issues by initiating communication between departments to ensure action, cooperation, and compliance of managed care operations.

Member Services Representative I

This position which requires the ability to work as a team player within the Alliance and with external contacts, make sound judgments based on analysis of information, be an effective communicator, active listener and balance advocacy for the member with the policy provisions such as plan policies, EOC, regulatory guidelines, and DMHC/DHCS rules and regulations. The MSR provides courteous, professional, and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan services and guidelines, as well make decisions with the goal of ensuring member satisfaction and retention. The MSR performs a variety of complex functions and is also responsible for maintaining accurate and complete inquiry/grievance records in the electronic database. Maintains compliance with DMHC regulatory requirements and DHCS contractual obligations. MSR I staff who demonstrate proficiency in meeting, maintaining and exceeding principal performance objectives and metrics may be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to Member Services Representative II or III positions once they have worked as a MSR I for a minimum of 12 months to be proficient with program and system knowledge in addition to meeting performance matrix requirements.

Principle duties and responsibilities

* Serve as the primary contact for members, providers and others for questions related to claims, benefits, authorizations, pharmacy, member eligibility and other questions related to Alameda Alliance and provide accurate, satisfactory answers to their inquiries or concerns.

* Respond to and resolve member service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, behavioral health, and care coordination.

* Answer incoming calls, emails, chats, and other requests for assistance in a timely manner in accordance with departmental performance targets and provide excellent customer service while doing so. May include assisting members in person.

* Recognize and understand the difference between calls that require quick resolutions and calls which will require follow-up and handle each appropriately.

* De-escalate situations involving dissatisfied customers, offering patient assistance and support.

* Accurately document all contacts per department standards/guidelines in the Customer Relationship Management (CRM) system.

* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).

* Interface with Grievance and Appeals, Claims, Enrollment, IT, Network Management, Pharmacy, Authorizations, and other internal departments to provide Service Excellence to our members.

* Help guide and educate members about the fundamentals and benefits of managed health care topics, to include managing their health and well-being by selecting the best benefit plan service options, maximizing the value of their health plan benefits, and choosing a quality care provider.

* Intercede with care providers (doctor's offices) on behalf of the member, assisting with appointment scheduling; connect members with internal Case Management Department for assistance as needed.

* Assist members in navigating , the Member Portal, and other health care partner online resources and websites to encourage/reassure them to use self- service tools that are available.

* Manage any issues through to resolution on behalf of the member, either on a single call or through comprehensive and timely follow-up.

* Research complex issues across multiple databases and work with support resources to resolve member issues and/or partner with others to resolve escalated issues.

* Provide education and status on previously submitted pre-authorizations or pre- determination requests for both medical and pharmaceutical benefits.

* Meet the performance goals established for the position in the areas of compliance, efficiency, call quality, member satisfaction, first call resolution, punctuality, and attendance.

* Always maintain a professional level of service to members.

* Always maintain confidentiality of information.

* Consistently support the Alliance's approach to Service Excellence by adhering to established department and company standards for all work-related functions.

* Interact positively with all Alliance Departments.

* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).

* Process MS Dept projects

* Serve as a back-up to manage the escalated calls.

* Perform other duties as assigned.

ESSENTIAL FUNCTIONS OF THE JOB

* Contacts: Receive, manage, and document telephone calls, emails, and other sources of contacts from members, potential members, and providers, and explain health plan benefits and plan rules. Describe the types of services the Alliance offers to the Member within the managed care system. Provide clarification about issues regarding patient and physician rights and how the plan operates.

* Conflict resolution: Resolve member problems/conflicts by convening with other departmental staff as needed.

* Member communications: Create and/or mail appropriate member materials and communications as needed.

* Computer: Perform ongoing data entry which assists in the maintenance of the Member Services department database to ensure data integrity.

* Comply with the organization's Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

PHYSICAL REQUIREMENTS

* Constant and close visual work at desk or computer.

* Constant sitting and working at desk.

* Constant data entry using keyboard and/or mouse.

* Constant use of multi-monitor setup

* Frequent use of telephone and headset.

* Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.

* Frequent lifting of folders, files, binders, and other objects weighing between 0 and 30 lbs.

* Frequent walking and Standing

Number of Employees Supervised: 0

MINIMUM QUALIFICATIONS:

* Bachelor's degree or equivalent experience preferred.

* High school diploma, GED required.

* The ability to speak and understand-bilingual: Spanish/English, Cantonese/English, Vietnamese/English, Tagalog/English are required as designated.

* A bilingual proficiency exam will be administered to ensure the candidate possesses the appropriate skill level to meet requirements. The successful candidate must score 90% or higher.

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:

* Minimum one year of direct customer service experience. Call center experience and managed care experience a plus

* Experience determining eligibility for financial assistance, insurance benefits, unemployment and/or other social services programs.

* Demonstrated knowledge expert of AAH Member Services policies and procedures

* Consistent record of meeting, maintaining, or exceeding monthly Departmental performance metrics.

* Consistent track record of documenting Service Requests accurately and clearly and monitoring open Service Requests to ensure responses and closure.

* Consistent record of high quality of work as demonstrated through call and documentation auditing, appropriate Call Disposition coding, as well as an overall acceptable monthly Member Satisfaction Survey result as assessed by Member Services Quality Specialist, MS Trainer and Member Services Supervisor.

* Demonstrated proficiency in current Customer Relationship Management (CRM) tool, phone system software Quality Management Solution, Pharmacy Benefits Management applications (PBM), Interpreter vendor scheduling software, delegate portal solutions and the Alliance's Member portal.

* Demonstrated ability to effectively handle the department's key special projects: Member Portal Request Processing, Kaiser PTE Requests, PCP retroactive and same month requests.

* Demonstrated ability to help members face-to-face in the field and/or at the Alliance offices (walk-ins). Also highly skilled at handling issues related to member bills, transportation set-up and benefit coordination with providers and pharmacy needs.

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

* Ability to prioritize and adapt to changing situations in a calm and professional manner.

* Ability to maintain composure in stressful situations.

* Excellent problem-solving skills

* Ability to exhibit cooperation, flexibility, and provide assistance when talking to members, providers, and staff.

* Skill in basic data entry

* Ability to type 40 net words per minute: multi-task

* Manual dexterity to operate telephone, computer keyboard equipment.

* Speak English proficiently, clearly, and audibly.

* Memorize and retain information quickly; meet physical requirements

* Spell correctly

* Learn the policies, regulations, and rules applicable to business operations.

* Follow instructions, reason clearly, analyze solutions accurately, act quickly and effectively in emergency situations; operate office equipment including computers and supporting word processing, spreadsheet, and database applications.

* Excellent phone etiquette and ability to communicate clearly and concisely, both orally and in writing.

* Excellent interpersonal skills with the ability to interact with diverse individuals and flexibility to customize approach to meet all types of member communication styles and personalities.

* Strong verbal and written communication skills.

* Demonstrated ability to quickly build rapport and respond to members in a compassionate manner by identifying and exceeding member expectations (responding in respectful, timely manner, consistently meeting commitments).

* Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member.

* Must be self-motivated and able to work with minimal supervision

* Must be team-oriented and focused on achieving organizational goals.

* Proficient problem-solving approach to quickly assess current state and formulate recommendations.

* Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions which members can understand and act upon.

* Proficient conflict management skills to include ability to resolve issues during stressful situations and demonstrating personal resilience.

* Ability to work regularly scheduled shifts within the Alliance's hours of operation including the training period, with scheduled lunches and breaks, flexibility to adjust daily schedules; and to work over-time and/or weekends as needed.

* Medical terminology knowledge preferred

* Ability to work within a broad systems perspective

* Experience in use of various computer systems software as well as Microsoft Windows, and Microsoft Suite, especially Outlook, Word, Excel.

* Must have reliable and stable internet connection for remote work (50-100 Mbps download speeds).

Employees who interact with members of the public may be required to be tested for Tuberculosis and fully vaccinated against COVID-19 and influenza. Successful candidates for those positions/ classifications may be required to submit proof of vaccination against influenza and/or COVID-19, a negative Tuberculosis test, or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the Human Resources department.

SALARY RANGE $22.88-$34.33 HOURLY

The Alliance is an equal opportunity employer and makes all employment decisions on the basis of merit and business necessity. We strive to have the best-qualified person in every job. The Alliance prohibits unlawful discrimination against any employee or applicant for employment based on race, color, religious creed, sex, gender, transgender status, age, sexual orientation, national origin, ethnicity, citizenship, ancestry, religion, marital status, familial status, status as a victim of domestic violence, assault or stalking, military service/veteran status, physical or mental disability, genetic information, medical condition, employees requesting accommodation of a disability or religious belief, political affiliation or activities, or any other status protected by federal, state, or local laws.

PLS Overview: Why PLS? Because You Deserve Better! PLS which stands for People Location Service is a leading retail provider of financial services. The "P" comes first, because our customers are at the center of everything we do, and we recognize that it's our exceptional team members who go above and beyond every day. The PLS Group, headquartered in Chicago, is comprised of over 200 financial service centers in 12 states. Through our check cashing stores, we provide consumers with convenient financial products and services to help them manage their day-to-day financial needs. Although many of our customers have banking relationships, we believe that our customers use our financial services because they are convenient, transparent, and frequently more affordable than available traditional alternatives. PLS was founded in 1997 by Bob and Dan Wolfberg, who serve as Co-Presidents.

Customer Service Representatives (CSRs) are the primary point of contact with our customers. They are the "face" of PLS. As such, they are accountable for delivering superior customer service. They also educate customers on our company products and services. The CSR is accountable for maintaining company quality standards and complying with all policies and procedures.

1. Providing outstanding customer service to ensure repeat business
2. Educating our customers on our products and services
3. Ensuring all transactions are completed in compliance with federal, state, and local regulations
4. Following company policies and procedures
5. Maintaining a balanced cash drawer
6. Completing all transactions accurately, including cash handling
7. Using our point-of-sale system to access information and process transactions
8. Resolving customer complaints or referring complaints to the Store Manager for resolution
9. Helping to maintain a neat and clean store environment for our customers and team members
10. Performing other duties as instructed by management

• Previous customer service experience in industries such as hospitality, financial services, retail or restaurant is preferred
• Ability, willingness, and comfort to engage with customers
• Strong verbal communication
• Ability to offer products and services to customers based on their needs
• Exceptional attention to detail and ability to multi-task
• Professional appearance and demeanor
• Must be honest and have integrity
• Able to work flexible hours, including early morning, evenings, weekends, and holidays
• English fluency is required
• English/Spanish bilingual is a plus

• Must be able to stand for extended periods
• Ability to lift up to 15 lbs. with little assistance
• Must be able to work in restrictive spaces and maintain concentration in a busy environment with moderate to high noise levels

Benefits for eligible team members include medical/dental/vision, 401(k), vacation, opportunities for advancement, and ongoing training.

We strive to demonstrate our Core Values in all positions at PLS: Communication Customer Focus Integrity and Trust Teamwork Results

PLS is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. PLS is a drug-free workplace. PLS provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify your Recruiter or a member of our Human Resources team at to make arrangements. The decision on granting accommodation will be made on a case-by-case basis.

For jobs located in the City of Los Angeles, consistent with the requirements of the Fair Chance Initiative for Hiring Ordinance, qualified applicants with criminal histories will be considered for employment

This job is located at: 835 W. Mains St, Lewisville, TX 75067

PLS Overview: Why PLS? Because You Deserve Better! PLS which stands for People Location Service is a leading retail provider of financial services. The "P" comes first, because our customers are at the center of everything we do, and we recognize that it's our exceptional team members who go above and beyond every day. The PLS Group, headquartered in Chicago, is comprised of over 200 financial service centers in 12 states. Through our check cashing stores, we provide consumers with convenient financial products and services to help them manage their day-to-day financial needs. Although many of our customers have banking relationships, we believe that our customers use our financial services because they are convenient, transparent, and frequently more affordable than available traditional alternatives. PLS was founded in 1997 by Bob and Dan Wolfberg, who serve as Co-Presidents.

Customer Service Representatives (CSRs) are the primary point of contact with our customers. They are the "face" of PLS. As such, they are accountable for delivering superior customer service. They also educate customers on our company products and services. The CSR is accountable for maintaining company quality standards and complying with all policies and procedures.

• Providing outstanding customer service to ensure repeat business
• Educating our customers on our products and services
• Ensuring all transactions are completed in compliance with federal, state, and local regulations
• Following company policies and procedures
• Maintaining a balanced cash drawer
• Completing all transactions accurately, including cash handling
• Using our point-of-sale system to access information and process transactions
• Resolving customer complaints or referring complaints to the Store Manager for resolution
• Helping to maintain a neat and clean store environment for our customers and team members
• Performing other duties as instructed by management

• Previous customer service experience in industries such as hospitality, financial services, retail or restaurant is preferred
• Ability, willingness, and comfort to engage with customers
• Strong verbal communication
• Ability to offer products and services to customers based on their needs
• Exceptional attention to detail and ability to multi-task
• Professional appearance and demeanor
• Must be honest and have integrity
• Able to work flexible hours, including early morning, evenings, weekends, and holidays
• English fluency is required
• English/Spanish bilingual is a plus

• Must be able to stand for extended periods
• Ability to lift up to 15 lbs. with little assistance
• Must be able to work in restrictive spaces and maintain concentration in a busy environment with moderate to high noise levels

Benefits for eligible team members include medical/dental/vision, 401(k), vacation, opportunities for advancement, and ongoing training.

PLS is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. PLS is a drug-free workplace. PLS provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please notify your Recruiter or a member of our Human Resources team at to make arrangements. The decision on granting accommodation will be made on a case-by-case basis.

For jobs located in the City of Los Angeles, consistent with the requirements of the Fair Chance Initiative for Hiring Ordinance, qualified applicants with criminal histories will be considered for employment

The customer service associate will increase customer confidence and loyalty by providing accurate, fast and friendly customer service desk and media services in accordance with company guidelines, policies and procedures. This role will satisfactorily resolve customer concerns or escalate them to appropriate level of management.

Primary responsibilities include providing continuous attention to customer needs, addressing customer issues/complaints, coordinating daily store cash and accounting functions, managing ACM lanes, troubleshooting front end equipment problems, stocking front end products, exhibiting professional telephone etiquette, maintaining confidentiality, putting up discarded or returned merchandise, performing cashier associate duties, performing pricing duties, keeping work area clean, reporting faulty equipment and hazards, and notifying management of associate theft, customer shoplifting, unauthorized mark-downs, property defacement or any action that is illegal and/or against company policy.

Perform other job-related duties as assigned.

Minimum qualifications include being 18 years of age, having a high school diploma or equivalency, reading, writing and speaking English proficiently, understanding and following English instructions, authorization to work in the United States or the ability to obtain the same, and successful completion of pre-employment drug testing and background check.

Preferred qualifications include demonstrating strong customer service communication skills, possessing a proficient working knowledge of office, front end systems and equipment, possessing proficient computer skills, demonstrating skills in the ability to perform and deliver customer service expectations, demonstrating good organizational skills, and having a high standard of integrity and reliability.

Required behaviors include living the values by embracing the essence of the company demonstrating a commitment to the company's goal and values, unifying and motivating team through praise and recognition of success with immediate feedback to build an environment of trust, being business-driven showing passion for the business, delivering results consistently, being customer-orientated by passionately demonstrating that the customer comes first always by putting the customer's needs above all else, and having people passion through consistently treating others with respect and dignity.

Knowledge, skills, abilities include compliance with all company policies and procedures and completing service training within sixty (60) days of position start date.

Job Tag: #WD

POSITION SUMMARY/RESPONSIBILITIES The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member’s cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members’ care plans to meet Member’s needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity.

The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member’s Legal Authorized Representative (LAR), and the Member’s Support Network.

Responsible for the coordination of STARPLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs.

Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.

EDUCATION/EXPERIENCE Graduation from an accredited school of professional nursing or social work is required.

BSN is preferred.

Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience.

Working knowledge of HMO standards, LTSS, and NCQA standards is preferred.

Knowledge of Medicare and Medicaid HMO experience is preferred.

Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required.

Bilingual, English/Spanish, is preferred.

LICENSURE/ CERTIFICATION A current, unrestricted license to practice professional nursing issued by the State of Texas is required.

RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.

POSITION SUMMARY/RESPONSIBILITIES

The RN Service Coordinator-RN (RN-SC) contributes to the Long Term Services and Supports (LTSS) service coordination process by performing activities within the scope of licensure; provides supervision and direction to staff participating in Member's cases following applicable state law and contract; develops, monitors, evaluates, and revises the Members' care plans to meet Member's needs, to optimize health care across the care continuum to enhance the Member's well-being, independence, integration in the community, and potential for productivity. The RN-SC conducts a holistic assessment of the Member's dynamics, needs, and preferences while providing education and health-related information to the Member, the Member's Legal Authorized Representative (LAR), and the Member's Support Network. Responsible for the coordination of STAR+PLUS Members' covered and non-capitated services, including acute and LTSS, while meeting the Member's physical, behavioral, functional, and psychosocial needs. Complies with policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, employees, patients, and guests.

EDUCATION/EXPERIENCE

Graduation from an accredited school of professional nursing or social work is required. BSN is preferred. Four (4) recent years of clinical experience preferred, which may include service coordination, case management, quality management, or managed care experience. Working knowledge of HMO standards, LTSS, and NCQA standards is preferred. Knowledge of Medicare and Medicaid HMO experience is preferred. Experience in meeting the needs of vulnerable populations who have chronic or complex conditions is required. Bilingual, English/Spanish, is preferred.

LICENSURE/ CERTIFICATION

A current, unrestricted license to practice professional nursing issued by the State of Texas is required. RUG Certification is required and must be obtained within 30 days of employment for all RN candidates.