Job Description
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: -
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: -
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.
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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: $44.30/hr.