Clinical - Senior LTSS Service Care Manager RN
Clinical - Senior LTSS Service Care Manager RN
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Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Senior LTSS Service Care Manager (RN)
Location: Remote with Home visits (60 to 75% travelling)
Duration: 6 months Contract
Shift: MonFri 8am 5pm Occasional overtime
Responsibilities:
- 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.
Describe the performance expectations/metrics for this individual and their team:
- To complete work (listed above) within turnaround time as listed in work process and contract.
- Maintain at least 92% of audits.
What previous job titles or background work well in this role
- They will have to have an RN license and pediatrics is a plus.
What makes your team/department/culture special that you would like candidates to know
- My team are team players and help each other out when needed.
Required Skills/Experience:
- RN license
- Pediatrics
Preferred Skills/ Experience:
- BilingualSpanish
Software Skills Required:
- Outlook
- Excel
- Word
- Microsoft teams
Required Certifications:
RNEmployment Type
Full Time
