Senior LTSS Service Care Manager (RN/NP)

Immediate need for a talented Senior LTSS Service Care Manager (RN/NP). This is a 05+months contract opportunity with long-term potential and is located in Waco,TX(Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-63785
 
Pay Range: $38 - $44/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:

• Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care.
• Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.
• Will perform 3-4 in home visits with members/week to complete the Waiver Upgrade Assessment.
• The remainder of time is used to complete documentation & assist in coordinating services for the member.
• This can include calling MD offices, clinics, DME companies, & other providers to set up/coordinate member MD appointments, services, supplies and equipment.
• The travel for the member visits averages 1-2 hours one-way.
• These visits typically take 2-3 hours.
• This role is fast paced and requires excellent multi-tasking skills and someone who is a fast learner. 
• The team primarily interacts with each other & other departments through telephone calls, messages on Microsoft Teams, email, and video.
• Training is remote, except for field visit training, that will be performed with one of the nurses on the team.
• There may also be some in-person trainings required at an office.
• NOTE:F 2 F – Remote [Remote with field visits (F2F) in Texas counties: Blanco, Gillespie, Llano, San Saba, Lampasas, Mills, Bell, Coryell, Hamilton, Comanche, Erath, Somervell, Bosque, McLennan, Hill, Falls, Milam, Burleson, Washington, Grimes, Brazos, Robertson, Madison, Leon, Freestone, Limestone].

Key Requirements and Technology Experience:

• Key Skills:Case Management, Field Nurse/Home Health, Care coordination.
• Requires Graduate from an Accredited School of Nursing or a bachelor’s degree and 4–6 years of related experience.
• Bachelor’s degree in nursing preferred.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or.
• NP - Nurse Practitioner - Current State's Nurse Licensure required.
• For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.
• RN License
• Reliable transportation
• Driver’s License
• Reliable internet
• RUG Certification
• 4-6 years of experience working with the adult Aged, Blind, or Disabled population.
• Prior experience as a Care Manager or Service Coordinator for a Managed Care Organization, or similar.
• Previous experience working remotely (training is remote).
• Disqualifiers: not in the correct region being sourced, not ready for field visits, not having done any remote work in the past.
• Performance indicators: being able to complete at least 3 visits per week. There is an Audit Score of 90% that will need to be met.
• Best vs. average: RUG Certification, if don’t have then will have to get once hired.

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.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .

#prof J2W:CB3