This role supports members with long-term services and supports needs through care management, with a focus on helping patients access appropriate community-based and health-related services. The work is primarily remote and centers on coordinating care for a clinically complex population. The clinician collaborates across providers and service systems to support ongoing care planning and follow-up.
Key Responsibilities
- Conduct care management assessments and care planning for members with LTSS needs.
- Coordinate services across medical, behavioral health, and community-based resources.
- Provide ongoing member follow-up, outreach, and care plan updates.
- Use clinical judgment to identify care gaps, barriers, and needed supports.
- Collaborate with interdisciplinary teams and external providers to support continuity of care.
- Document assessments, interventions, and care coordination activities in the appropriate systems.
Required
- Registered Nurse (RN) licensure.
- Experience in care management, case management, or a related nursing role.
- Experience working with long-term services and supports or complex member populations.
Benefits & Perks
- Remote work arrangement.