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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
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
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. 
 

  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
1 1-2 years in Case Management or Home Health
2 Microsoft Office Skills
3 Customer Service Professionalism
 
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
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.

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