LTSS Service Coordinator – RN Clinician (RN Case Manager) Eastern Ohio
Core
Field-based RN Case Manager responsible for developing, monitoring, and evaluating individual care plans for members with chronic illnesses, co-morbidities, and disabilities, prioritizing person-centered thinking and optimizing healthcare across the care continuum.
Role type
Senior IC RN Case Manager (LTSS Service Coordinator)
Builds
Individualized care plans and care management strategies for members requiring long-term services and supports
Domain
Healthcare / Long-Term Services and Supports (LTSS)
Required skills
RN licensure, functional assessments, care plan development, chronic disease management, interdisciplinary collaboration, utilization management
Preferred skills
Case management experience with older adults or individuals with disabilities, BA/BS in Health/Nursing
Technologies
Electronic health records (implied via care plan management), telephonic assessment tools
Responsibilities
Perform telephonic and face-to-face functional assessments to identify and evaluate member needs; Develop, monitor, and revise individual care plans in collaboration with members, caregivers, and physicians; Manage members with chronic illnesses and disabilities to ensure cost-effective benefit utilization; Coordinate care with interdisciplinary teams and medical directors; Facilitate authorizations and referrals for service utilization
Seniority
Mid-level, hands-on IC