Senior LTSS Service Care Manager RN
Core
Assesses and coordinates medical and supporting services for complex/high acuity long-term care members to promote quality, cost-effective care.
Role type
Senior clinical care manager (RN/NP)
Builds
Personalized care plans and service plans for long-term care members
Domain
Healthcare / Long-term care / Managed Care Organization
Required skills
Care plan development, provider coordination, member advocacy, clinical assessment, data trend analysis, community resource coordination, 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 ongoing long-term care plans; Coordinate between members, families, and care provider teams; Monitor member status for complications and progress towards goals; Review member data to identify trends and improve operating performance; Collaborate with healthcare providers to facilitate services; Provide education to members and families on disease processes and benefits; Act as liaison between members, physicians, and facilities; Precept clinical new hires and guide them through onboarding; Engage with leadership to improve quality of care
Seniority
Senior, hands-on IC with mentorship responsibilities