Senior LTSS Service Care Manager (RN)

Position Title : Senior LTSS Service Care Manager (RN)

Work Location : Remote - McAllen, and / or Austin. (CM will be conducting telephonic reviews of assessments. CM will be coordinating care with our members however there is a potential for f2f visits in the future if there is ever a need.)

Assignment Duration : 6 months (with potential to extend / convert)

Work Schedule : 8-5 Mon-Fri EST

Responsibilities :

• Review / research assigned members
• Contact the member the day before to confirm visit and set up telehealth meeting invite
• Explain to member that the visit may take anywhere between 2-3 hours
• Perform assessment either via telehealth (video AND audio) or in-person (in member's home)
• Contact PCP office to confirm diagnosis and report any abnormal findings
• Upload the MN signature page within 1 business day for attempts to MD signature to begin
• Complete the assessment documentation
• Coordinate assessment finding needs ex-send referrals for DME items covered under the member's core benefit, initiate non-waiver items / services
• Once the MD signature is received-assessing RN is to sign the MNLOC (assessment) within 24 hours
• Process continues from this point as needed

Candidate Requirements

Education / Certification

Required : Graduate from an Accredited School or Nursing or a Bachelor's degree

Preferred : Bachelor's

Licensure

Required : Current TX RN license with no stipulations, will have to get RUG certification once hired- reimbursable

Preferred :

Must haves : Home health background, RNs accustomed to performing home visits.

Have experience with computer charting and know how to navigate all products of Microsoft.

Nice to haves : Previous Hospice, Home Health or Service Coordination experience preferred.

Disqualifiers :

Performance indicators : Punctual and dependable, CM will be reimbursed for mileage, CM will need to come in office if additional coaching is needed or performance issues arise

Basic computer knowledge and accurate typing

Flexibility

Reliable transportation / VALID DL (No company car)