Senior LTSS Service Care Manager RN
Core
Assesses and coordinates medical and supporting services for complex/high acuity long-term care members to promote quality, cost-effective care.
Role type
Senior clinical care manager (RN/NP)
Builds
Personalized care plans and service plans for high-risk populations
Domain
Long-term care / Managed Care Organization (MCO)
Required skills
Care plan development, provider coordination, member advocacy, clinical assessment, regulatory compliance, community resource coordination, precepting new hires
Preferred skills
Bachelor's degree in Nursing, RUG certification
Technologies
None stated
Responsibilities
Evaluate service needs of high-risk members and recommend care plans; Develop and continuously assess ongoing long-term care plans; Coordinate between members, families, and care providers; Monitor member status and revise care plans as needed; Review member data to identify trends and improve performance; Provide education to members and families on disease processes and benefits; Act as liaison between members, physicians, and facilities; Perform home or site visits to assess needs; Precept clinical new hires and guide onboarding.
Seniority
Senior, hands-on IC with precepting responsibilities
