Clinical - Senior LTSS Service Care Manager (RN) - J01077

Location : Remote and some Field Visits Required : Candidates should be from McAllen, and / or Austin area and Will be expected to over ALL counties on their SDA

Care Manager will be conducting telephonic reviews of assessments and coordinating care with client's members however there is a potential for face to face visits in the future if there is ever a need.

SHIFT : 8am-5pm for scheduled visits, may need to work after 5pm to complete documentation.

Overtime may be available.

Duration : 6 months contract Only

Typical Day in the Role :

• 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.

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.

Reliable transportation / VALID DL (No company car)

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

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.

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 :