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
Domain
Healthcare / Long-term services and supports (LTSS)
Required skills
Pediatric nursing, care plan development, provider coordination, family/caregiver education, regulatory compliance, data trend analysis, community resource coordination, clinical assessment, precepting new hires
Preferred skills
Nurse Practitioner licensure, Resource Utilization Group (RUG) certification
Technologies
Electronic health records (EHR), care management software
Responsibilities
Evaluate service needs of high-risk members and recommend care plans; Develop and continuously assess ongoing long-term care plans; Coordinate between members, families, and care provider teams; Monitor member status for complications and progress towards goals; Review referrals and intake assessments to develop appropriate plans; Provide education to members and families on disease processes and benefits; Act as liaison between members, physicians, and facilities; Perform home and/or site visits to assess needs; Precept clinical new hires and guide onboarding; Collaborate with leadership to improve quality of care
Seniority
Senior, hands-on IC with precepting responsibilities