LTSS Service Coordinator - RN Telehealth
Core
Managing long-term services and supports (LTSS) cases for members with chronic illnesses, co-morbidities, and disabilities via telehealth, including clinical assessments, care plan development, and care coordination.
Role type
Licensed Registered Nurse (RN) Service Coordinator
Builds
Individualized care plans and coordinated service utilization for members
Domain
Healthcare / Long-term services and supports (LTSS) / Telehealth
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan development, care coordination, supervision of non-RN clinicians, chronic disease management, utilization management
Preferred skills
Bilingual communication (Spanish, Mandarin, or Cantonese), Medicare experience, CHHA certification
Technologies
Telehealth platforms, Electronic Health Records (EHR)
Responsibilities
Perform telephonic clinical assessments for member needs identification and evaluation; develop, monitor, and revise member care plans; supervise and direct non-RN clinicians; coordinate care for high-risk complications; facilitate authorizations and referrals for service utilization; interface with Medical Directors and interdisciplinary teams.
Seniority
Mid-level, hands-on IC