Clinician

• Responsible for overall management of member's case within the scope of licensure
• Provides supervision and direction to non-RN clinicians participating in the member's case
• Develops, monitors, evaluates, and revises the member's care plan
• Performs face-to-face clinical assessments for identification, evaluation, coordination and management of member's needs.
• Coordinates care in conjunction with the member and the health care team
• Assists with implementation of member care plans by facilitating authorizations/referrals for utilization of services
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
• Directs and supervises the work of any non-RN clinicians in coordinating services for the member

LTSS Service Coordinator – RN Clinician

• Assists in identifying members for high risk complications.
• Obtains clinical data as directed.
• Assists in identifying members that would benefit from an alternative level of care or other waiver programs.
• Provides all information collected to the responsible RN.
• Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN.

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LTSS Service Coordinator – RN Clinician

LTSS Service Coordinator – Clinician, LSW, LCSW, LPN