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Job Requirements of Clinical - LTSS Service Care Manager:
-
Employment Type:
Contractor
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Location:
Hidalgo, TX (Onsite)
Do you meet the requirements for this job?
Clinical - LTSS Service Care Manager
Pyramid Consulting, Inc
Hidalgo, TX (Onsite)
Contractor
Immediate need for a talented Clinical - LTSS Service Care Manager. This is a 06 Months Contract opportunity with long-term potential and is located in Hidalgo SDA TX (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-00932
Pay Range: $24 - $27/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:
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, color, 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 .J2W:CB3
Job ID:26-00932
Pay Range: $24 - $27/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:
- Review assessments & service plans (internal assessments)
- Follow up on pending assessment findings, clarify DX, reported abnormal findings, requested referrals, etc.
- MN denials
- Research community resources.
- 2065D approval/denials
- Update LTSS
- Terminate LTSS waiver service authorizations.
- Provide community resources.
- Instruct member on appeal process and level change.
- Initiate LTSS/acute services (create authorization request template)
- Skills-Requires a bachelor’s degree and 2 – 4 years of related experience
- Excellent computer skills
- Proficient in Microsoft programs, i.e.. Word, Excel, and OneNote
- Previous MCO experience
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, color, 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 .J2W:CB3
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