Senior LTSS Service Care Manager (RN)
Spectraforce
Dallas, Texas
5 days ago
Job Description
Position Title: Senior LTSS Service Care Manager (RN)
Work Location: Member facing to Dallas SDA (including Dallas, Collin, Ellis, Haufman, Rockwall, Hunt, Navarro County)
Assignment Duration: 6 months (Possibility to extend)
Work Schedule: M-F 8 to 5 pm
Position Summary:
- Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members.
- Conduct in person screening and risk assessment interventions per program guidelines. Job Responsibilities: Identify special needs members through the completion of health screens and other resources.
- Work with community outreach/member advocates to coordinate member care.
- Educate providers and community resources on program components and available support services.
- Educate members with special needs to foster compliance with program and positively impact outcomes.
- Assist with modification and management of care plans, medical consenter or caregiver, and family, if applicable, as well as the managing physician
- Efficiency, quality and compliance with timeliness of required assessments and documentation. Process improvement to improve overall performance concerns; Seeing improvement on UMR cases/audits, improve member outcomes.
- Completing daily in person assessment to members within the 7 counties of Dallas SDA. Employee will also complete follow ups outreaches with members/PCP/ agencies, completing Tasks assigned. Work hours include Monday-Friday 8-5pm. OT depending on business needs (impacting TAT). Team interaction amongst team via work Team chat and Outlook with peers and leadership and monthly touch base with Manager.
Candidate Requirements | |||
Education/Certification | Required: Associate or bachelor’s degree in nursing | Preferred: 1-2 yrs experience in Case Manager or home health | |
Licensure | Required: Registered Nurse | Preferred: Texas Licensed RN | |
| Must haves: 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills Nice to haves: MCO experience Disqualifiers: n/a Performance indicators: be self-motivated, organized, and able to prioritize tasks. Possess strong documentation skills and must be able to follow policies and work processes. |
| 1 | 1-2 years in Case Management or Home Health |
2 | Microsoft Office Skills | |
3 | Customer Service Professionalism |
Applicant Notices & Disclaimers
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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: $ 44.00/hr.