Senior Long Term Case Manager

Immediate need for a talented Senior Long Term Case Manager .This is a 06+ Months Contract with possible extension opportunity with long-term potential and is located in Lubbock, TX(Onsite) .Please review the job description below and contact me ASAP if you are interested.

Job Diva ID: 26-14673

Pay Range: $38.60 - $43.40/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

• Daytoday responsibilities include managing a complex member caseload, conducting clinical and service coordination reviews, completing required assessments, participating in interdisciplinary collaboration, and ensuring documentation meets regulatory standards.
• The role actively supports issue resolution, provider coordination, member and caregiver education, and proactive identification of care gaps.
• Project involvement may include quality initiatives, audit preparation activities, process improvement efforts, and pilot implementations tied to state or organizational priorities.
• Performance is measured through a combination of productivity, quality, and compliance metrics, including:
• Timeliness of assessments, authorizations, and required outreach
• Documentation accuracy and audit outcomes
• Adherence to regulatory and contract requirements
• Caseload management and member engagement standards
• Participation in quality improvement and process initiatives

Key Requirements and Technology Experience:

• Must have skills: -  ["RN", "Registered Nurse", "Pediatrics" , "Home Visits"]
• Requires Graduate from an Accredited School of Nursing or a bachelor’s degree and 4–6 years of related experience
• Years of experience required: 2+ years pediatrics experience, case management, RN required, looking for someone that wants to grow their career.
• Licensure required: Must have Active RN License for TX
• WORK MOTIVATED/Caseload/workload management/ follow processes and policies
• Advanced documentation/technical system proficiency
• Ability to independently interpret and apply policy, ability to troubleshoot

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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