Senior LTSS Service Care Manager (RN)

Position Title: Senior LTSS Service Care Manager (RN)

Work Location: Member facing to Dallas SDA (including Dallas, Collin, Ellis, Haufman, Rockwall, Hunt, Navarro County)

Assignment Duration: 6 months (Possibility to extend)

Work Schedule: M-F 8 to 5 pm

Position Summary:

• Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members.
• Conduct in person 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.
• Completing daily in person assessment to members within the 7 counties of Dallas SDA. Employee will also complete follow ups outreaches with members/PCP/ agencies, completing Tasks assigned. Work hours include Monday-Friday 8-5pm. OT depending on business needs (impacting TAT). Team interaction amongst team via work Team chat and Outlook with peers and leadership and monthly touch base with Manager.