Job Description
Title: Senior LTSS Service Care Manager RN
Location: Edinburg, TX
Duration: 6 months
Shift: 8:00 AM 5:00 PM
Description:
~ Prepare for visits by gathering information on member utilizing our Electronic Medical Record system reviewing diagnosis, meds, recent authorizations.
~ Completing visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
~ Travel to member home for in person visit lasting 2-4 hours long. Travel can be up to 2 hours one way.
~ Submission of assessment within 24 hours.
~ Any requests for services to be initiated within 3 business days.
~ All other documentation due within 5 business days.
~ After 15 business days hand off member to appropriate level to be assigned to permanent care manager/service coordinator.
~ Complete Centene University trainings prior to due date.
~ Complete any task assignments within turnaround time per work process.
~ Manager has a daily interaction with the contractors through teams chat
~70% field work 30% documentation
~ Follow up phone calls with patience
~ Trainings, meetings (zoom and teams) will be held
~4-6 visit a week
~ Productivity log that most be completed daily
~5 weeks of training
Must haves:
~ Microsoft Suites
~2 years or more of nursing
Education/Certification
Required: Required: Bachelor's degree and 4 6 years of related experience
Required: RN ASN, BSN, or MSN
Licensure
Required: RN ASN, BSN, or MSN
Nice to haves:
~ Ability to take direction
~ Self-disciplined sufficient
~ Case Management experience Title: Senior LTSS Service Care Manager RN Location: Edinburg, TX Duration: 6 months Shift: 8:00 AM 5:00 PM Description:
~ Prepare for visits by gathering information on member utilizing our Electronic Medical Record system reviewing diagnosis, meds, recent authorizations.
~ Completing visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
~ Travel to member home for in person visit lasting 2-4 hours long. Travel can be up to 2 hours one way.
~ Submission of assessment within 24 hours.
~ Any requests for services to be initiated within 3 business days.
~ All other documentation due within 5 business days.
~ After 15 business days hand off member to appropriate level to be assigned to permanent care manager/service coordinator.
~ Complete Centene University trainings prior to due date.
~ Complete any task assignments within turnaround time per work process.
~ Manager has a daily interaction with the contractors through teams chat
~70% field work 30% documentation
~ Follow up phone calls with patience
~ Trainings, meetings (zoom and teams) will be held
~4-6 visit a week
~ Productivity log that most be completed daily
~5 weeks of training NO PTO
~ Must haves:
~ Microsoft Suites
~2 years or more of nursing
~ Education/Certification Required: Required: Bachelor's degree and 4 6 years of related experience Required: RN ASN, BSN, or MSN Licensure Required: RN ASN, BSN, or MSN Nice to haves:
~ Ability to take direction
~ Self-disciplined sufficient
~ Case Management experience
Job Tags
Permanent employment, For contractors, Shift work,
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