RN Long term Case Manager.

RN Long Term Case Manager

Immediate need for a talented RN Long Term Case Manager. This is a 03 months contract with possible extension or conversion opportunity and member facing role in Harlingen, TX (onsite).

Job Diva ID: 26-23846 Pay Range: $40.20 - $43.60 /hr. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities

• Assess the needs of complex and high-acuity members and develop individualized care plans.
• Coordinate medical, behavioral, and community-based services across the continuum of care.
• Collaborate with physicians, specialists, caregivers, and community organizations to ensure members receive appropriate care.
• Monitor member progress, evaluate changes in condition, and update care plans as needed.
• Conduct home and/or community visits (typically once per month or as required) to assess member needs.
• Review referrals and intake assessments to determine appropriate care management strategies.
• Educate members and caregivers on disease management, available benefits, healthcare resources, and community services.
• Coordinate service authorizations for long-term care services such as transportation, meals, housing, and activities of daily living.
• Maintain accurate documentation and ensure compliance with state, federal, and organizational guidelines.
• Identify care gaps, monitor quality outcomes, and recommend improvements to enhance member care.
• Serve as a liaison and advocate between members, families, healthcare providers, and community resources.
• Support onboarding and mentoring of new clinical staff as needed.

Key Requirements and Technology Experience:

• Key skills: RN, Long term care, LTC, Home visits, Case Management
• Graduate of an accredited School of Nursing.
• Active Registered Nurse (RN) license in the state of practice or Compact State Licensure.
• Bachelor's degree with related clinical experience preferred.
• 46 years of healthcare or care management experience preferred (not required).
• Ability to travel locally for member visits.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. By applying to our jobs, you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here