LTSS Service Care Manager

Immediate need for a talented LTSS Service Care Manager . This is a 06+months contract opportunity with long-term potential and is located in San Antonio, TX(Remote ). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-85015

Pay Range: $24 - $26/hour.  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:

• Shift Time & Working Days: 8:00 am – 5:00 pm, OT dependent upon business needs.
• The Specialty Authorization Team consists of the processing of authorizations and follow-ups for DME, MHM, DAHS, and reductions/denials in which we are now at a 1 BD TAT for the processing of SK/SH/MMP authorizations.
• We utilize project temps/contingent workers to assist with each of these areas as well as cross train them to be able to assist in multiple functions.
• The team continues to experience high authorization volumes.
• Daily check in & communication via group IM(s)
• Daily production logs must be completed and emailed to designated person no later than 9am    next business day
• Multi-tasking with multiple monitors and applications
• Utilize work guides and or resources
• 97% Quality (Audits)
• 98% Production
• 5% Error Rate
• We work together like a family rather than co-workers in which helps facilitate the best care for those we serve by being committed, flexible, and compassionate to enhance the lives of every Member.

Key Requirements and Technology Experience: 

• Key Skills; License (LPN, LVN, or LCSW preferred)
• 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions.
• Tch Savvy (MS office Tools along with EMR/EHR )
• Education/Certification Required: High School/GED
• Preferred: Bachelor’s degree in social work, Health Services, Behavioural Science, or related field, or equivalent experience.
• Licensure Required: LPN, LVN, or LCSW preferred. License is the most important.

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.

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