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 McAllen or Edinburgh TX (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-57298
 
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: 

• Completing assessments
• Completing biannual
• Telephonic outreaches
• Care coordination
• Follow up on request from members/LAR
• Complete any assigned trainings.
• Completing all required documentation
• Submitting authorizations
• Travel (home visit to complete assessments)
• Maintaining at least 92% audit score
• Providing member/LAR education
• Productivity reports
• Follow up with HEDIS measures
• Assisting members/LARs with finding doctors, therapy agency, PCS agency, DME and etc…
• Describe the performance expectations/metrics for this individual and their team:
• To complete work (listed above) with in turnaround time, as listed in work process and contract.
• Maintain at least 92% on audits.
• Tell me about what their first day looks like:
• They will receive their log in information and spend time with IT setting up their equipment.
• Completing trainings in University.
• Then following days will be in training.
• What previous job titles or background work well in this role?
• They will have to have the RN license and pediatrics is a plus.
• What makes your team/department/culture special that you would like candidates to know?
• My team are team players and help each other out when needed

Key Requirements and Technology Experience: 

• Key skills; Pediatric Experience
• RN license
• Pediatrics
• Bingual-Spanish
• Education Requirement:  RN
• Software Skills Required:  Computer literacy, needs to be able to work independently
• Required Certifications: Current TX RN license

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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