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CareBridge

Cloud-based EVV and LTSS care management

LTSS Service Coordinator - RN Clinician

Medical, Clinical & VeterinaryPosted on Nov 11
Full-timeIn-person

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least 3 years of experience working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role is required, or an equivalent combination of education and experience.
  • A current, active, valid, and unrestricted RN license in applicable state(s) is required.
  • State-specified certification may be required based on state law and/or contract.

Responsibilities

  • Manage members' cases within the scope of licensure and provide direction and oversight to non-RN clinicians participating in each case in accordance with applicable state law and contract.
  • Develop, monitor, evaluate, and revise member care plans to meet members' needs and optimize health care across the care continuum.
  • Perform telephonic or face-to-face clinical assessments to identify, evaluate, coordinate, and manage members' physical health, behavioral health, social service, and long-term services and supports needs.
  • Identify members at risk for complications and coordinate care with the member and health care team.
  • Manage members with chronic illnesses, co-morbidities, and/or disabilities to support 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 members, caregivers, families, natural supports, and physicians.
  • Identify members who may benefit from an alternative level of care or other waiver programs.
  • Develop the care plan for member services and ensure members' access to those services.
  • Assist with implementation of member care plans by facilitating authorizations or referrals for services, as appropriate, within the benefits structure or through permissible extra-contractual arrangements.
  • Interface with Medical Directors, Physician Advisors, and/or Inter-Disciplinary Teams to develop care management treatment plans.
  • Assist with problem-solving provider, claims, or service issues as needed.
  • Direct and oversee LPN/LVN, LSW, LCSW, LMSW, and other licensed non-RN professionals coordinating services for members, including assigning tasks, verifying and interpreting information they obtain, conducting additional assessments as needed, developing and revising care plans, and regularly reviewing their performance and providing input.
  • Travel to the worksite and other locations as necessary.

Desired Qualifications

  • An associate's, MA, or MS degree in Health/Nursing is preferred.

About the Company

CareBridge

Cloud-based EVV and LTSS care management

CareBridge Health provides a cloud-based suite of tools to support long-term support services (LTSS). It helps health plans, states, and caregivers ensure safe, independent living by offering electronic visit verification (EVV), data aggregation, 24/7 member support, and benefit management that fit into existing care workflows. The company deploys devices like tablets to high-risk members’ homes and connects patients, families, caregivers, and care teams through a common platform, creating a continuous care lifeline. Its goal is to improve home-based care quality and outcomes while reducing costs for health plans and state agencies, by end-to-end LTSS integration and caregiver collaboration.

Company size
201-500
Company stage
Acquired
Total funding
$185.6M
Headquarters
Nashville, TN
Founded
2009

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