Senior LTSS Service Care Manager RN - Pediatrics

Location: Hybrid role based in Lubbock, Texas, with in-home visits in the Abilene/Midland area.

Salary: $36.21–$65.09 per hour

Company

hirify.global provides healthcare and managed care services focused on improving access to quality care for individuals, families, and communities.

What you will do

• Assess complex and high-acuity pediatric long-term care members and develop personalized care and service plans.
• Coordinate providers, specialists, caregivers, facilities, agencies, and community resources to meet member needs.
• Monitor member status, complications, care gaps, service-plan progress, waiver eligibility, and potential transitions to higher levels of care.
• Educate members and families on disease processes, care options, referrals, provider instructions, benefits, and available community services.
• Coordinate service authorizations for resources such as transportation, housing, meals, foster care, and activities of daily living.
• Document care management activities, support regulatory compliance, and contribute to quality and cost-effective service delivery.

Requirements

• Graduate from an accredited school of nursing or hold a bachelor's degree with 4–6 years of related experience.
• RN state licensure or compact state licensure required; alternatively, current state nurse licensure as a nurse practitioner.
• Resource Utilization Group (RUG) certification must be obtained within 90 days of hire.
• Ability to work in the Lubbock area and complete in-home or other site visits in the Abilene/Midland area.
• Strong skills in care coordination, clinical assessment, documentation, member advocacy, and collaboration with healthcare providers.

Nice to have

• Bachelor's degree in Nursing.
• Experience precepting, coaching, or onboarding clinical new hires.

Culture & Benefits

• Flexible approach to remote, hybrid, field, and office work schedules within the role's requirements.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Work focused on improving healthcare access and outcomes for individuals, families, and communities.
• Equal opportunity workplace committed to diversity and inclusion.