This role supports members with long-term services and supports needs through care management, assessment, and coordination of ongoing services. The clinician works with members across home and community-based settings, helping connect them to appropriate care, resources, and follow-up. The position is part of a managed care environment focused on supporting access, continuity, and effective utilization of services.
Key Responsibilities
- Conduct care management assessments for members needing long-term services and supports.
- Coordinate care plans and community-based services based on member needs.
- Provide ongoing follow-up and monitoring to support care continuity.
- Collaborate with members, caregivers, and interdisciplinary teams to address service needs.
- Use clinical documentation and care management workflows to track plans and outcomes.
- Support appropriate utilization of LTSS and related healthcare resources.
Required
- Active RN license.
- Experience in care management or a related nursing role.
- Experience working with long-term services and supports or similar community-based populations.