Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs. Service Delivery Area: Hidalgo County, TX and the surrounding areas near Alto, TX, Edinburg, TX, Donna, TX, Elsa, TX, Edcouch, TX, Alamo, TX, Hidalgo, TX, Mission, TX Pharr, TX, San Juan, TX, Mercedes, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.