Senior LTSS Service Care Manager (RN)

Prepare for visits by gathering information on member utilizing our Electronic Medical Record system, reviewing diagnosis, medications, and recent authorizations. After 15 business days, hand off member to appropriate level to be assigned to permanent care manager/service coordinator.

Summary:

• Location: Harlingen location, travel required for face-to-face visits
• Duration: 6 months
• Shift: M-F 8-5 with possibility for overtime and Saturdays

Responsibilities:

• Identify any needs new members may have and continue care for anything placed by prior MCO
• Prepare for visits by gathering information on member utilizing our Electronic Medical Record system, reviewing diagnosis, medications, and recent authorizations
• Complete visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
• Travel to member home for in-person visit lasting 2-4 hours long, travel can be up to 2 hours one way
• Submit assessment within 24 hours; any requests for services to be initiated within 3 business days; all other documentation due within 5 business days
• After 15 business days, hand off member to appropriate level to be assigned to permanent care manager/service coordinator

Requirements:

• Education/Certification: Required: RN ASN, BSN, or MSN
• Licensure: Required: RN
• More than 3 years as a nurse and 2 years of case management

Preferred Skills:

• Pediatric experience
• Top 3 must-have hard skills stack-ranked by importance:
  1. Accountability and prioritizing
  2. Clinical judgement
  3. Ability to take direction

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