Position Title: Senior LTSS Service Care Manager (RN)
Location: Remote- TX
Duration: 6 months (possible extension)

Job Summary:

• Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members.
• Conduct 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.

• Assist with member tasks – follow up with members regarding coordination of care
• Follow up with providers and doctors’ offices

Describe the performance expectations/metrics for this individual and their team:

• Provided a monthly caseload ( up to 20 per month)
• Required to follow up with members on a weekly basis

 
What makes this role unique:
Allows flexibility as candidate to work remotely. Team members are willing to assist and answer questions for their colleagues when needed. 
 

Candidate Requirements
Education/Certification	Required: Associate 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 manager is willing to be flexible)
Years of experience required: Must haves: 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills. Great to have: MCO experience   Disqualifiers:   Additional qualities to look for: 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 stack-ranked by importance		1	Comprehensive clinical assessment skills and critical thinking
		2	Detail Oriented – tied to documentation, timeliness and compliance
		3	Experience with Case Management and coordination

  
 
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 pay range is $43.00/hr - $45.00/hr.