RN Virtual Health Services I

Job Title: Senior LTSS Service Care Manager (RN)

Hybrid / Field-Based

Employment Type: Contract

Schedule: Monday – Friday | 8:00 AM – 5:00 PM CST (OT may be required)

Active Registered Nurse (RN) License

3+ years of nursing experience

2+ years of case management experience

Strong care coordination and service planning skills

Ability to work independently in a remote and field-based environment

Proficiency with Microsoft Teams and electronic documentation systems

Valid Driver’s License and ability to travel throughout the assigned territory

Home Health experience

Pediatric nursing experience

Medicaid or Managed Care experience

Community-based care coordination experience

Experience working with STAR Kids programs

Knowledge of state and federal healthcare regulations

The Senior LTSS Service Care Manager (RN) is responsible for conducting comprehensive assessments for pediatric Medicaid members enrolled in the STAR Kids program to identify unmet healthcare needs and determine eligibility for Medicaid services and community-based support programs. This role combines remote work with field-based member visits and requires strong assessment, case management, care coordination, and documentation skills. The ideal candidate will possess extensive nursing experience, strong communication abilities, and the capability to manage multiple priorities while delivering quality, member-centered care.

Conduct comprehensive in-home assessments for pediatric STAR Kids members

Evaluate medical, behavioral, developmental, and social service needs

Identify unmet healthcare needs and recommend appropriate Medicaid-funded services

Develop individualized care plans based on assessment findings

Coordinate services with providers, caregivers, community resources, and interdisciplinary teams

Ensure documentation meets quality and regulatory standards

Meet performance expectations related to documentation accuracy and timeliness

Participate in team meetings, training sessions, and case discussions

Maintain ongoing communication through Microsoft Teams and remote collaboration tools

Support company performance goals and assessment completion requirements

Approximately two days dedicated to documentation and case management activities

Performance Metrics Include

Documentation quality and timeliness

Training compliance

Company performance goals

Associate Degree in Nursing (ADN), Bachelor of Science in Nursing (BSN), or Master of Science in Nursing (MSN)

Active Registered Nurse (RN) License

Minimum 3+ years of nursing experience

Minimum 2+ years of case management experience

Ability to work independently in a remote and field-based setting

Home Health experience

Pediatric nursing experience

Medicaid or Managed Care experience

Community-based care coordination experience

Knowledge of STAR Kids programs and healthcare regulations

Remote home office-based position

Frequent travel to member homes throughout the assigned territory

Collaborative virtual team environment utilizing Microsoft Teams

This is a new position supporting the STAR Kids Program

Opportunity for contract extension and potential long-term conversion

Candidates must be comfortable with both remote work and community-based member visits

Medical

Dental

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