Immediate need for a talented
Senior LTSS Service Care Manager (RN). This is a
06+ Months Contract opportunity with long-term potential and is located in
US (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-32428
Pay Range: $40 - $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:- Review member medical records, diagnoses, medications, recent authorizations, and other relevant clinical information before scheduled visits.
- Conduct in-person assessments, including initial assessments, change-in-condition assessments, MDCP assessments, and Level 3 reassessments.
- Travel to members’ homes to complete comprehensive assessments, which may require up to two hours each way.
- Identify member needs and coordinate appropriate services to promote continuity of care.
- Submit completed assessments within 24 hours of the visit and initiate service requests within three business days, as applicable.
- Complete all other required documentation within five business days.
- Coordinate the transition of members to the appropriate permanent Care Manager or Service Coordinator, generally within 15 business days.
- Complete all required training through Client University by assigned deadlines.
- Manage assigned tasks, prioritize competing responsibilities, and meet established productivity, quality, and turnaround-time expectations.
- Collaborate with team members to address member needs and support effective care coordination.
Key Requirements and Technology Experience:- Active Registered Nurse (RN) license.
- Minimum of three years of nursing experience.
- Minimum of two years of case management experience.
- Strong clinical assessment, critical-thinking, and decision-making skills.
- Excellent organizational, time-management, and documentation skills.
- Ability to prioritize multiple responsibilities, follow established procedures, and meet strict deadlines.
- Strong communication and interpersonal skills.
- Pediatrics experience.
- Home health or managed care experience.
- Experience with Long-Term Services and Supports (LTSS), Medicaid, managed care organizations (MCOs), or complex-care populations.
- Experience conducting in-home assessments and coordinating community-based services.
- Familiarity with electronic medical records and clinical documentation systems.
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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