Clinical - Senior LTSS Service Care Manager RN
Clinical - Senior LTSS Service Care Manager RN
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1 Vacancy
Job Description
Below mentioned is the job description for your reference:
Job Title: Clinical Senior LTSS Service Care Manager (RN)
Location: Remote McAllen and/or Austin TX
Duration: 6 months (possible extension)
Shift: 8am5pm for scheduled visits may need to work after 5pm to complete documentation. No overtime.
Job Responsibilities:
- Review/research assigned members
- Contact the member the day before to confirm visit and set up telehealth meeting invite
- Explain to member that the visit may take anywhere between 23 hours
- Perform assessment either via telehealth (video AND audio) or inperson (in members home)
- Contact PCP office to confirm diagnosis and report any abnormal findings
- Upload the MN signature page within 1 business day for attempts to MD signature to begin
- Complete the assessment documentation
- Coordinate assessment finding needs exsend referrals for DME items covered under the members core benefit initiate nonwaiver items/services
- Once the MD signature is receivedassessing RN is to sign the MNLOC (assessment) within 24 hours
- Process continues from this point as needed
Describe the performance expectations/metrics for this individual and their team:
- Meet contractual requirement for each assessment to be completed within 45 calendar days
- In order to meet the contractual requirements of 45 days internal TAT needs to be met
What makes your team/department/culture special that you would like candidates to know
- We are a statewide team but help each other when neededteamwork
Required:
- Previous Hospice Home Health or Service Coordination experience preferred.
- Basic computer knowledge and accurate typing
- Flexibility
- Reliable transportation/ VALID DL (No company car)
Additional Notes:
- ONLY submit candidates who have been FULLY VACCINATED
- CM will be reimbursed for mileage
- CM will need to come in office if additional coaching is needed or performance issues arise
Education Requirement:
- RN
Software Skills Required:
- Have experience with computer charting and know how to navigate all products of Microsoft.
Required Certifications:
- Current TX RN license with no stipulations will have to get RUG certification once hired reimbursable
Employment Type
Full Time
