This role focuses on care management for members needing long-term services and supports, with an RN providing assessment, care planning, and ongoing coordination across community-based needs. The work is primarily case management rather than direct bedside care, with attention to connecting members to appropriate services and resources.
Key Responsibilities
- Conduct care management assessments for members with long-term services and supports needs.
- Coordinate individualized care plans and member services across community and health care resources.
- Monitor ongoing needs and adjust plans based on changing member conditions or support requirements.
- Collaborate with interdisciplinary teams and community providers to support continuity of care.
- Document assessments, plans, and service coordination activities in the care management workflow.
Required
- Registered Nurse (RN) licensure.
- Experience or training in care management, case management, or long-term services and supports.