- Conduct comprehensive symptom assessments and support members with serious illness.
- Facilitate end-of-life care discussions when appropriate.
- Manage clinical issues and escalations.
- Collaborate with Nurse leaders and Medical Directors on clinical protocols.
- Establish relationships with members and their care networks via phone, email, and video.
- Coordinate care and provide clinical consult support.
- Collaborate with non-clinical team members on social determinants of health.
- Participate in case conferences and monitor member progress.