Care Coordinator a provider-based clinician or other trained individual who is employed or contracted by the Contractor or an Enrollee’s PCP. The Care Coordinator is accountable for providing care coordination activities, which include assuring appropriate referrals and timely two-way transmission of useful patient information; obtaining reliable and timely information about services other than those provided by the PCP; participating in the Enrollee’s Comprehensive Assessment, if any; and supporting safe transitions in care for Enrollees moving between settings in accordance with the Contractor’s Transitional Care Management program. The Care Coordinator may serve on one or more care teams, coordinates and facilitates meetings, and other activities of those care teams.
Care Coordinator. 2.5.4.4.1. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-compliance with training by the Care Coordinators. The Care Coordinator must:
Care Coordinator. The individual who has primary responsibility for performance of care coordination activities for a TennCare Covered Person receiving Long-Term Services and Supports as specified in this Appendix and meets the qualifications specified in the CRA.
Care Coordinator. An individual who is responsible for managing all activities performed by the Interdisciplinary Care Team (ICT) for Enrollees who are not receiving long-term services and supports (LTSS) and are otherwise not identified as being at high-risk.
Care Coordinator. An employee or delegated subcontractor of the Demonstration Plan who provides Care Management, and together with an Enrollee and care team, establishes a Care Plan for the Enrollee and, through interaction with network Providers, ensures the Enrollee receives necessary services.
Care Coordinator. Wrap OC Provider Agency staff, responsible for facilitating the Wrap OC Child and Family Team (Wrap CFT) meetings and guiding the evolution of a Plan of Care (POC) to ensure that it’s family-centered and effective in safely transitioning and/or maintaining Participant to the least-restrictive family setting with minimal reliance on formal support systems.
Care Coordinator. An individual within a Provider organization who facilitates Care Coordination for patients.
Care Coordinator. A professionally qualified person who is competent to conduct initial review and other functions involving Prior Authorization.
Care Coordinator. To maximize the effectiveness of the Care Coordinator as a resource to the staff nurse, the Employer will recognize the job as a separate and unique title for purposes of this article. It is expressly agreed and understood that any reassignment of Care Coordinators shall be in accordance with Section 8.7.1. of the contract.
Care Coordinator. An employee or delegated subcontractor of the Demonstration Plan who provides Care Management, and together with an Enrollee and care team, establishes a Care Plan for the Enrollee and, through interaction with network providers, ensures the Enrollee receives necessary services. Care Management - Services that assist Enrollees in gaining access to needed services, including medical, social, educational and other services, regardless of the funding source for the services. Care Management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services (both Medicare and Medicaid) required to meet an Enrollee’s needs across the continuum of care.
