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LTSS Service Care Manager – RN
Company | Centene |
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Location | Tempe, AZ, USA |
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Salary | $26.5 – $47.59 |
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Type | Full-Time |
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Degrees | Bachelor’s |
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Experience Level | Mid Level |
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Requirements
- Graduate from an Accredited School of Nursing or a Bachelor’s degree and 2 – 4 years of related experience
- RN – Registered Nurse – State Licensure and/or Compact State Licensure required or NP – Nurse Practitioner – Current State’s Licensure required.
Responsibilities
- Develops, assesses and coordinates holistic care management activities
- Evaluates the medical, behavioral and social needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
- Completes assessments related to medical/physical health needs such as airway management, artificial hydration/nutrition, seizure interventions, medication administration, etc.
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Supports members with complex medical needs that may place populations at greater risk for potentially preventable events
- Develops, monitors and modifies ongoing long-term care plans/service plans
- Monitors member status for complications and clinical symptoms or other status changes
- Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources
- Provides and/or facilitates education to long-term care members and their families/caregivers
- Educates on and coordinates community resources, to include medical, behavioral and social services
- Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system
- Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
No preferred qualifications provided.