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LTSS Service Care Manager – RN

LTSS Service Care Manager – RN

CompanyCentene
LocationTempe, AZ, USA
Salary$26.5 – $47.59
TypeFull-Time
DegreesBachelor’s
Experience LevelMid Level

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.