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The Lead Care Manager (LVN) works in collaboration and continuous partnership with chronically ill or “high-risk” members and their family/caregiver(s), clinic/hospital/specialty providers and staff, and community resources in a team approach to:
• Coordinate with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services
• Engage eligible members
• Oversee provision of ECM services and implementation of the care plan.
• Offer services where the member lives, seeks care, or finds most easily accessible and within the Plan guidelines
• Connect member to other social services and supports the member may need, including transportation
• Advocate on behalf of members with health care professionals
• Use motivational interviewing, trauma-informed care, and...