Senior LTSS Service Care Manager (RN)

Summary:

• Location: Harlingen location, travel required for face-to-face visits
• Duration: 6 months
• Shift: M-F 8-5 with possibility for overtime and Saturdays

Responsibilities:

• Identify any needs new members may have and continue care for anything placed by prior MCO
• Prepare for visits by gathering information on member utilizing our Electronic Medical Record system, reviewing diagnosis, medications, and recent authorizations
• Complete visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
• Travel to member home for in-person visit lasting 2-4 hours long, travel can be up to 2 hours one way
• Submit assessment within 24 hours; any requests for services to be initiated within 3 business days; all other documentation due within 5 business days
• After 15 business days, hand off member to appropriate level to be assigned to permanent care manager/service coordinator

Requirements:

• Education/Certification: Required: RN ASN, BSN, or MSN
• Licensure: Required: RN
• More than 3 years as a nurse and 2 years of case management

Preferred Skills:

• Pediatric experience
• Top 3 must-have hard skills stack-ranked by importance:
  1. Accountability and prioritizing
  2. Clinical judgement
  3. Ability to take direction