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 assessments, care plan development, provider coordination, member/family education, data trend analysis, regulatory compliance, home/site visits, precepting new hires
Preferred skills
7+ years clinical RN case management, RUG certification, experience in Assisted Living/Home Health/Hospice/Skilled Nursing
Technologies
Electronic health records (implied via data review), care management software
Responsibilities
Evaluate service needs of high-risk members and recommend outcome plans; Develop and continuously assess ongoing long-term care plans; Coordinate between members, families, and care provider teams; Monitor member status for complications and revise care plans; Review member data to identify trends and improve performance; Provide education on disease processes and care options; Act as liaison between members, physicians, and facilities; Precept clinical new hires and guide onboarding; Collaborate with leadership to enhance quality of care
Seniority
Senior, hands-on IC with mentorship responsibilities