Job Description
Position Title: Senior LTSS Service Care Manager (RN)
Work Location: Member-facing, Nueces County SDA, TX
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.
Background & Context: Star Plus Waiver Assessment team at our organization. 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:
- 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.
- Will perform 3-4 in home visits with members/week to complete the Waiver Upgrade Assessment.
- The remainder of time is used to complete documentation & assist in coordinating services for the member.
- 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
- Bachelor’s degree in Nursing preferred
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
- NP - Nurse Practitioner - Current State's Nurse Licensure required
- For our organization: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.
- RUG Certification
- 4-6 years of experience working with the adult Aged, Blind, or Disabled population.
- Prior experience as a Care Manager or Service Coordinator for a Managed Care Organization, or similar.
- Previous experience working remotely (training is remote)
| Candidate Requirements | ||||
| Education/Certification | Required: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience | Preferred: Bachelor's degree in Nursing preferred | ||
| Licensure | Required: Registered Nurse, TX | Preferred: | ||
| Must haves:
Disqualifiers: not in the correct region being sourced, not ready for field visits, not having done any remote work in the past Performance indicators: being able to complete at least 3 visits per week. There is an Audit Score of 90% that will need to be met Best vs. average: RUG Certification, if don’t have then will have to get once hired | |||
| 1 | Strong time management skills | ||
| 2 | Adaptability | |||
| 3 | Able to multi-task efficiently | |||
- 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: $ 40.00/hr.