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Senior LTSS Service Care Manager (RN)

Senior LTSS Service Care Manager (RN)

Pyramid Consulting, IncMcAllen, TX, United States
14 days ago
Job type
  • Temporary
Job description

Immediate need for a talented Senior LTSS Service Care Manager (RN). This is a 06+months contract to Hire opportunity with long-term potential and is located in Mcallen, TX / Edinburg TX (Hybrid). Please review the job description below and contact me ASAP if you are interested.

Job ID : 25-86704

Pay Range : $40 - $45 / hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities :

  • 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.
  • 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.
  • This position is for the McAllen / Edinburg area to complete assessments in member’s homes as well as completing documentation as per State and Company guidelines to ensure compliance.
  • M-F visits 3 days out of the week, with OT possible with manager approval, documentation days 2 days out of week, traveling to members homes to complete assessments / documentation.
  • Face to Face assessments completed 3 days out of the week with 2 documentation days, completing tasks, submitting all forms / assessments within turnaround times, completing outreaches

Key Requirements and Technology Experience :

  • Key skills; Pediatrics, RN , Home Health
  • Traveling and getting to experience member visits / gaining experience.
  • Must haves : Pediatric experience
  • Nice to haves : Home Health
  • Disqualifiers : no experience HH
  • 1-2 years in Case Management or Home Health
  • Pediatric
  • Customer Service Professionalism
  • Required : Requires Graduate from an Accredited School or Nursing or a Bachelor's degree and 4–6 years of related experience
  • RN - Registered Nurse - State Licensure and / or Compact State Licensure required or
  • NP - Nurse Practitioner - Current State's Nurse Licensure required
  • Resource Utilization Group (RUG) certification required.
  • Evaluates the service needs of the most complex or high risk / high acuity members and recommends a plan for the best outcome
  • Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

    Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here .

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    Care Manager Rn • McAllen, TX, United States

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