This role focuses on care management for members with long-term services and supports needs, with local travel across Massachusetts for in-person assessments and coordination. The clinician helps assess needs, develop care plans, and connect members to community and health services while supporting ongoing case management.
Key Responsibilities
- Conduct member assessments to identify long-term services and supports needs.
- Develop and update individualized care plans based on member needs and available resources.
- Coordinate services with providers, community agencies, and care team members.
- Monitor member status and follow up on care plan progress and transitions.
- Assist members in accessing covered benefits, community supports, and appropriate referrals.
- Document assessments, interventions, and care coordination activities in the care management system.
Required
- Active RN license.
- Experience in care management, case management, or a related nursing role.
- Ability to travel locally within Massachusetts.
Preferred
- Experience working with long-term services and supports populations.
- Experience coordinating community-based resources and services.
- Prior managed care or health plan experience.