Senior LTSS Service Care Manager (RN)

Position Title: Senior LTSS Service Care Manager (RN)

Work Location: Texas - Rio Grande valley ( McAllen, Edinburg, Weslaco, Donna, Pharr, San Juan, Alamo, Harlingen)

Assignment Duration: 6 Months

Work Schedule: M-F 8 to 5 pm

Work Arrangement: Remote

Position Summary:

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

Background & Context:

• Transcribing of assessments and possibly follow ups with members, completing Task assigned
• Describe the performance expectations/metrics for this individual and their team:
• 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.
• Conduct site visits as appropriate for programs and provide support to other special programs.
• Assist with modification and management of care plans, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.
• Tell me about what their first day looks like:
• training, Rug Training registration
• What previous job titles or background work will in this role?

• Bachelor's degree in Nursing or Associates degree in Nursing, Minimal experience. 1-2 years of experience Hospital/ Home Health.
• Any future projected positions potentially coming up? If yes, note:
• Internal/External Groups with which the Candidate will interface:

• Transcribing of assessments and possibly follow ups with members, completing Task assigned
• 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.
• 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.
• Conduct site visits as appropriate for programs and provide support to other special programs.
• Assist with modification and management of care plans, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.

• RN (1 year is ideal, but manager is willing to be flexible)
• Computer skills, phone skills
• Education Requirement: RN
• Software Skills Required: Computer literacy, needs to be able to work independently
• Required Certifications: RN
• Preferred Skills/ Experience:
• Home Health