Senior LTSS Service Care Manager RN - Pediatrics
Core
Assesses and coordinates medical and supporting services for complex/high acuity pediatric populations to promote quality, cost-effective care.
Role type
Senior clinical care manager (pediatrics)
Builds
Personalized long-term care plans and service plans for high-risk members
Domain
Healthcare / Long-term services and supports (LTSS)
Required skills
Care plan development, provider coordination, member advocacy, clinical assessment, resource coordination, data trend analysis, precepting new hires
Preferred skills
Bachelor's degree in Nursing, RUG certification
Technologies
None stated
Responsibilities
Evaluate service needs of high-risk members and recommend care 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 performance; Provide education to members and families on disease processes and benefits; Act as liaison between members, physicians, and facilities; Coordinate community resources and service authorization; Precept clinical new hires and guide onboarding; Perform home and site visits to assess needs
Seniority
Senior, hands-on IC