Clinical - Senior LTSS Service Care Manager (RN)

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

Job ID: 25-69076

Pay Range: $40 - $45/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:

• Provide support to medical, Behavioral and social support staff to determine needs, eligibility and services for members.
• Conduct screening and risk assessment interventions per program guidelines. Job Responsibilities: Identify special needs members through the completion of health screens and other resources.
• Work with community outreach/member advocates to coordinate member care.
• Educate providers and community resources on program components and available support services.
• Educate members with special needs to foster compliance with program and positively impact outcomes.
• Assist with modification and management of care plans, medical consenter or caregiver, and family, if applicable, as well as the managing physician
• Efficiency, quality and compliance with timeliness of required assessments and documentation.
• Process improvement to improve overall performance concerns; Seeing improvement on UMR cases/audits, improve member outcomes.

Key Requirements and Technology Experience: 

• Key Skills; Case Management
• Home Health
• 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills
• MCO experience
• 1-2 years in Case Management or Home Health
• Microsoft Office skills
• Customer Service Professionalism
• Required: Associate or bachelor’s degree in nursing   
• 1-2 yrs experience in Case Management
• Licensure Required: Registered Nurse             
• Preferred: RN (1 year is ideal, but manager is willing to be flexible)

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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