Senior LTSS Service Care Manager (RN)
Core
Conducts UAS assessments and develops personalized care/service plans for complex, high-acuity long-term care members to coordinate medical and supporting services across the continuum of care.
Role type
Senior Registered Nurse (RN) Care Manager
Builds
Personalized care plans and service plans for high-risk MLTC members
Domain
Long-term care / Managed Long-Term Care (MLTC)
Required skills
UAS assessment, care plan development, provider coordination, community resource coordination, member advocacy, clinical monitoring, data trend analysis, precepting new hires
Preferred skills
Bachelor's degree in Nursing, Nurse Practitioner (NP) licensure
Technologies
None stated
Responsibilities
Evaluate service needs of high-risk members and recommend outcome plans; Develop and continuously assess long-term care plans; Coordinate between members, families, and care providers; Monitor member status and revise care plans as needed; Review member data to identify trends and improve quality; Provide education to members and families on disease processes and benefits; Act as liaison between members, physicians, and facilities; Conduct home or site visits to assess needs; Precept and coach clinical new hires on MCO navigation and field practice.
Seniority
Senior, hands-on IC with precepting responsibilities