(RN) Lead, SNF Case Manager

Job description

Position Summary: Under the direction of Director, Social Services and collaborating closely with Case Management Teams, the Advance Care Planning (ACP) Case Manager is responsible for assisting in the successful implementation of Advance Care Planning (ACP) Management Program in the North Region. This program is designed to establish early identification and focused care coordination of eligible/potentially eligible members requiring end of life planning and facilitate appropriate services for the member. The primary goal of the Advance Care Planning (ACP) CM is to effectively identify hospice/palliative appropriate members on an inpatient/outpatient basis to assure that these members are transitioned to palliative/hospice care by working in partnership with our contracted hospice companies wherever possible. To this end, the Advance Care Planning CM will offer professional facilitation to our eligible and potentially eligible members to assist them in developing and articulating their wishes regarding their end of life issues, including palliative/hospice care. Further, the Advance Care Planning CM will Provide assistance to members and their families in the form of end of life p...