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 North Austin/Round Rock Area TX (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-66904

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:

• 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.
• Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
• Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
• Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
• Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
• Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
• Reviews referrals information and intake assessments to develop appropriate care plans / service plans

Key Requirements and Technology Experience: 

• Key Skills; Pediatrics
• Home Health
• Case Management
• Requires Graduate from an Accredited School or 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 requiredEvaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome

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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