RN, Senior LTSS Service Care Manager
Core
Senior RN Care Manager assessing and coordinating medical and supporting services for complex/high acuity long-term care members to promote quality, cost-effective care.
Role type
Senior IC clinical care manager (long-term services and supports)
Builds
Personalized care plans and service plans for high-acuity adult members
Domain
Healthcare / Long-term services and supports (LTSS)
Required skills
Clinical health assessment, care plan development, provider coordination, member/family education, care monitoring, data trend analysis, resource coordination, precepting new hires
Preferred skills
Transition of care management, RUG certification, complex case management
Technologies
Electronic health records (EHR), care management software
Responsibilities
Conduct home visits for clinical health assessments; develop and monitor personalized care/service plans; coordinate between members, families, and care providers; monitor member status for complications or changes in condition; review referrals and intake assessments; educate members and families on disease processes and benefits; act as liaison between members, physicians, and facilities; coordinate community resources and service authorization; precept and coach clinical new hires.
Seniority
Senior, hands-on IC with mentorship responsibilities