LTSS Assessment RN (SCAN Temp)
Core
Conduct telephonic assessments and develop care plans for frail seniors to enable aging in place and manage chronic conditions.
Role type
Senior IC Registered Nurse (Care Management)
Builds
Person-centered care plans and health education strategies for older adults
Domain
Healthcare / Long-Term Services and Supports (LTSS) / Medicare/Medicaid
Required skills
Registered Nurse (RN), Care Coordination, Chronic Disease Management, Telephonic Assessment, Care Plan Development, Regulatory Compliance (CMS/DHCS)
Preferred skills
Bilingual (English/Spanish), Remote Work Experience, Senior Care Experience, Case Management
Technologies
Electronic Health Records (EHR), Care Management Systems
Responsibilities
Perform initial and annual telephonic assessments for LTSS members, Evaluate clinical appropriateness of care plans against evidence-based guidelines, Provide health education and coaching to prevent hospital admissions, Participate in interdisciplinary case conferences, Complete timely documentation in multiple computer systems
Seniority
Mid-Senior level, hands-on IC