Family Care-Registered Nurse
Core
Field-based Registered Nurse Case Manager responsible for developing, monitoring, and evaluating individualized 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 (LTSS)
Builds
Person-centered long-term services and supports care plans 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
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Functional assessment, care plan development, care coordination, chronic illness management, utilization management, interdisciplinary collaboration, telephonic and face-to-face communication
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
Responsibilities
Perform functional assessments to identify and evaluate member needs; develop and revise individualized care plans; coordinate care with healthcare teams and community resources; manage members with chronic conditions to ensure efficient benefit utilization; facilitate authorizations and referrals for services; collaborate with physicians and medical directors on care management.
Seniority
Mid-level, hands-on IC