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