• Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members • Conduct face-to-face visits in the member's home utilizing comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE) • Evaluate the medical needs of the member to facilitate the member’s overall wellness and help them obtain the services they need to thrive • Coordinate and collaborate care with the member/authorized representative, PCP, and any other care team participants • Schedule and attend interdisciplinary meetings and advocate on the member's behalf to ensure proper and safe discharge with appropriate services in place • Document accurately and timely in the member’s electronic health record