LTSS Service Coordinator - RN

About This Role

Manage member cases, providing supervision to non-RN clinicians, developing and evaluating care plans to optimize member health across the care continuum.

Responsibilities

• Perform telephonic or face-to-face clinical assessments for identifying, evaluating, coordinating, and managing member needs
• Identify members with high risk complications and coordinate care with the member and healthcare team
• Manage members with chronic illnesses, co-morbidities, and/or disabilities to ensure cost-effective and efficient utilization of health benefits
• Obtain a thorough and accurate member history to develop an individual care plan
• Establish short and long-term goals in collaboration with the member, caregivers, family, natural supports, and physicians
• Develop the care plan for services for the member and ensure the member's access to those services
• Assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services
• Interface with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams on the development of care management treatment plans
• Direct and supervise the work of LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals in coordinating services for the member

Requirements

• Registered Nurse (RN)
• 3-4 years of experience in Service Coordinator, Case Management, or similar role with chronic illnesses/co-morbidities/disabilities

Qualifications

• 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role

Benefits