Care manager

Job Title: Care Manager II

Duration: 6 months with extension

Shift: 8:00am to 5:00pm ( Occasional overtime)

Location Hidalgo SDA Brownsville and surrounding cities/townsTexas

**Candiate should stay under 30 to 40 Miles From McAllen TX**

Walk me through the daytoday responsibilities of this the role and a description of the project :

• Completing assessments
• Completing biannual
• Telephonic outreaches
• Care coordination.
• Follow up on request from members/LAR.
• Complete any assigned training.
• Completing all required documentation
• Submitting authorizations
• Travel (home visit to complete assessments)
• Maintaining at least 92% audit score
• Providing member/LAR education
• Productivity reports
• Follow up with HEDIS measures.
• Assisting members/LARs with finding doctors therapy agency PCS agency DME and etc....
• These are most of the responsibilities listed above.

Describe the performance expectations/metrics for this individual and their team:

• To complete work (listed above) with in turnaround time as listed in work process and contract.
• Maintain at least 92% on audits.

Tell me about what their first day looks like:

• They will receive their login information and spend time with IT setting up their equipment.
• Completing training at university.
• Then the following days will be in training.

What previous job titles or background work well in this role

• They will have to have the RN license and pediatrics is a plus.

What makes your team/department/culture special that you would like candidates to know

• My team are collaborators and help each other out when needed.