LTSS Svc Coord-RN Clinician
Core
Manage member cases and develop care plans for individuals with chronic illnesses, co-morbidities, and disabilities, prioritizing person-centered thinking and optimizing healthcare across the care continuum.
Role type
Licensed RN Case Manager / Service Coordinator
Builds
Individualized care plans and coordinated service utilization for members
Domain
Healthcare / Long-Term Services and Supports (LTSS)
Required skills
Functional assessment, care plan development, chronic disease management, care coordination, utilization management, interdisciplinary collaboration
Preferred skills
Case management with older adults or individuals with disabilities, BA/BS in Health/Nursing
Responsibilities
Perform telephonic and face-to-face functional assessments, manage members with chronic illnesses and disabilities, obtain member history to develop care plans, establish short and long-term goals with members and caregivers, facilitate authorizations and referrals for services, interface with Medical Directors and Inter-Disciplinary Teams
Seniority
Mid-level, Non-Management Non-Exempt