Senior LTSS Service Care Manager (RN)

Position Title: Senior LTSS Service Care Manager (RN)

Work Location: Member-facing, Nueces County SDA, TX

Assignment Duration: 6 months

Work Schedule: Monday - Friday (8am -5pm)

Position Summary: 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.

Background & Context: Star Plus Waiver Assessment team at our organization. The team all works remote. It consists of RN's, Social Workers, and Care Management Support Coordinator II's. It's a mix of FTE & Contingent staff. The RN's perform visits to members homes to complete Waiver Upgrade Assessments.

Key Responsibilities:

• 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.
• Will perform 3-4 in home visits with members/week to complete the Waiver Upgrade Assessment.
• The remainder of time is used to complete documentation & assist in coordinating services for the member.
• This can include calling MD offices, clinics, DME companies, & other providers to set up/coordinate member MD appointments, services, supplies and equipment.

• Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience
• Bachelor's degree in Nursing preferred
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
• NP - Nurse Practitioner - Current State's Nurse Licensure required
• For our organization: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required.
  
  

• RUG Certification
• 4-6 years of experience working with the adult Aged, Blind, or Disabled population.
• Prior experience as a Care Manager or Service Coordinator for a Managed Care Organization, or similar.
• Previous experience working remotely (training is remote)