Senior LTSS Service Care Manager (RN)

Position Title: Senior LTSS Care Manager

Work Location: Remote & Member facing - Central SDA Texas

Assignment Duration: 6 Months

Work Schedule: Monday-Friday 8am-5pm

Position Summary: 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.

Background & Context:

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  The team all works remote. It consists of RN's, Social Workers, and Care Management Support Coordinator II's. It's a mix of FTE & Contingent staff. The RN's perform visits to members homes to complete Waiver Upgrade Assessments.
  
  Key Responsibilities:

  
  
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  Will perform 3-4 in home visits with members/week to complete the Waiver Upgrade Assessment.

  
  
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  The remainder of time is used to complete documentation & assist in coordinating services for the member.

  
  
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  This can include calling MD offices, clinics, DME companies, & other providers to set up/coordinate member MD appointments, services, supplies and equipment.
  
  Qualification & Experience:

  
  
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  Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience.

  
  
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  Bachelor's degree in Nursing preferred.

  
  
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  RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required.

  
  
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  Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.