ALTSA Nursing Services
WA DSHS ALTSA
Nursing Services consist of nurse consultants who provide health-related assessments and clinical consultation to clients eligible for Medicaid Long-Term Services and Supports (LTSS). Services are available to clients, providers, and case managers to support development, coordination, and implementation of a person-centered plan of care. HCS Nurse Care Consultants (NCCs), AAA Case Managers, and RN Case Managers (RCMs) collaborate on care plans for clients with triggered nursing referrals, particularly those related to skin integrity and pressure injury prevention. Nursing Services is not a direct provider of intermittent or emergency nursing care, nor of skills or services requiring physician orders and supervision. Area Agencies on Aging may also employ Licensed Practical Nurses (LPNs) as nurse consultants for focused assessments under the Skin Observation Protocol; LPN-collected data is reviewed by a Registered Nurse for care planning.
Source www.dshs.wa.gov/altsa/home-and-community-services/nursing-services