Family Care-Registered Nurse
Core
Field-based Registered Nurse Case Manager responsible for developing, monitoring, and evaluating care plans for older adults and adults with disabilities to maximize independent living and optimize healthcare across the care continuum.
Role type
Senior IC Registered Nurse Case Manager
Builds
Individualized care plans and care management strategies for members with chronic illnesses, co-morbidities, and disabilities
Domain
Long-term services and supports (LTSS) / Managed care for older adults and individuals with disabilities
Required skills
Functional assessment, care plan development, chronic illness management, care coordination, utilization management, interdisciplinary collaboration, goal setting, risk identification
Preferred skills
Case management with older adults or disabilities, long-term care background, cultural responsiveness, technology proficiency, crisis management
Technologies
Telephonic assessment tools, care management software, benefits structure systems
Responsibilities
Perform telephonic and face-to-face functional assessments; develop and revise individual care plans; manage members with chronic illnesses and disabilities; coordinate care with healthcare teams and providers; facilitate authorizations and referrals for services; identify members for alternative levels of care or waiver programs; interface with Medical Directors and Physician Advisors.
Seniority
Mid-level, hands-on IC