Position Title: Senior LTSS Service Case Manager (RN)

Work Location: Member-Facing - Source from Hidalgo SDA, TX

Assignment Duration: 6 Months (Potential to extend)

Work Schedule: Monday – Friday 8-5

Position Summary:

• Assesses, plans, implements, and coordinates holistic care management activities to enable quality, cost-effective healthcare outcomes.

• May develop or assist with creating personalized care plans/service plans for long-term care members.

• Educates members and their families/caregivers on services and benefits available to meet member needs.

Background & Context:

• May perform home and/or other site visits to assess members’ needs and collaborate with healthcare providers and partners.

• Allows flexibility for remote work; team collaboration is encouraged.

• Strong potential for temp-to-perm conversion.

Key Responsibilities:

• Assists with developing and continuously assessing long-term care plans and identifies providers, specialists, or community resources needed.

• Coordinates and manages services between members, families, and care teams.

• Monitors care/service plans and member outcomes; updates plans as needed.

• Identifies care management barriers and interventions.

• Provides resource support (e.g., housing, employment, independent living).

• Reviews member data for trends and regulatory compliance.

• Collaborates with healthcare partners to ensure needs are met and adjusts care plans.

• Collects and documents all care management activities to meet regulatory standards.

• Educates members/families on care procedures, services, and benefits.

• Partners with leadership to improve care quality and cost-effectiveness.

• Trains and guides other team members.

• May assist with projects or other duties as needed.

• Supports medical, behavioral, and social teams to determine member needs and eligibility.

• Conducts screenings and risk assessments.

• Coordinates with community outreach and educates providers on services.

• Encourages member program compliance to improve outcomes.

• Manages care plans and medical consent processes.

• Ensures timely assessments and documentation.

• Performs outreach, completes follow-ups, and maintains team communication.

• May work overtime depending on business needs.

Must-haves:

• 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills

Nice to have:

• MCO experience

Candidate Requirements
Education/Certification	Required: Associate's or bachelor’s degree in nursing	Preferred: 1-2 yrs experience in Case Management
Licensure	Required: Registered Nurse	Preferred: RN (1 year is ideal, but the manager is willing to be flexible)

 

 


At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $43.00/hr.