10 дней назад
RN, Senior LTSS Service Care Manager
36 - 65$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
RN, Senior LTSS Service Care Manager (Long-Term Care/Managed Care): Assessing complex and high-acuity members, developing personalized long-term care plans, and coordinating medical, community, and supportive services with an accent on person-centered care, clinical monitoring, and provider collaboration. Focus on evaluating changing care needs, facilitating service authorizations and higher levels of care, conducting member home visits, and supporting quality improvement across the care management program.
Location: Hybrid role with remote work from home and required member home visits in Hidalgo County, Texas, near Donna, Alamo, Pharr, San Juan, McAllen, or Weslaco. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. Travel is required for member visits.
Pay range: $36.21–$65.09 per hour.
Company
connects people with healthcare services and works to make care more accessible and effective for individuals, families, and communities.
What you will do
- Assess complex and high-acuity members and recommend care plans supporting quality and cost-effective outcomes.
- Develop, monitor, and update personalized long-term care and service plans.
- Coordinate medical services, providers, specialists, facilities, agencies, and community resources.
- Monitor member conditions, complications, progress, care gaps, waiver eligibility, and potential needs for a higher level of care.
- Educate members and families or caregivers about disease processes, benefits, care options, referrals, and available community services.
- Conduct required home or other site visits, document care management activities, and support quality improvement and service delivery.
Requirements
- Graduate of an accredited school of nursing.
- 4–6 years of related experience, preferably in RN care coordination or case management with adults aged 21 or older in Home Health, Hospice, Long-Term Care, or Managed Care.
- Current RN state licensure or compact state licensure; current state nurse licensure is also accepted for Nurse Practitioners.
- Bachelor of Nursing degree preferred.
- Must support member visits in Hidalgo County, Texas, and travel for assessments.
- For Superior assignments, Resource Utilization Group certification must be obtained within 90 days of hire.
Culture & Benefits
- No on-call duties, evenings, weekends, or holidays.
- Mileage reimbursement is provided for member assessment visits.
- Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
- Flexible work arrangements across remote, hybrid, field, and office schedules.
- Equal opportunity workplace focused on improving healthcare access and outcomes.
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