Senior LTSS Service Care Manager (RN)

Job Title: Senior LTSS Service Care Manager (RN)

Location: Remote-TX (Harlingen)

Duration: 6 Months



Schedule: Monday - Friday, 8:00 AM 5:00 PM possibility for OT- Possibility for Saturdays

Summary:

• To identify any needs new members may have and to continue care for anything placed by prior MCO
• Our team culture is highly collaborative and member focused.
• Team members consistently support one another, frequently volunteering assistance and responding quickly to questions.
• They demonstrate strong accountability through fast turnaround times and a shared commitment to meeting performance expectations.
• Above all, the team prioritizes member needs by remaining flexible and accommodating reasonable requests whenever possible.

Typical Day in the Role:

• Prepare for visits by gathering information on members utilizing our Electronic Medical Record system reviewing diagnosis, meds, and recent authorizations.
• Completing visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
• Travel to member home for a person visit lasting 2-4 hours long.
• Travel can be up to 2 hours one way.
• Submission of assessment within 24 hours.
• Any requests for services to be initiated within 3 business days.
• All other documentation is due within 5 business days.
• After 15 business days, the staff will hand off members to appropriate level to be assigned to permanent care manager/service coordinator.
• Complete any task assignments within turnaround time per work process.

Required:

• RN ASN, BSN, or MSN
• More than 3 years as nurse and 2 years of case management

Additional qualities to look for: Pediatric experience

Top 3 must-have hard skills:

• Accountability and prioritizing
• Clinical judgement
• Ability to take direction