Title - Sr LTSS Service Care Manager RN
Duration - 6 months
Shift - 8 am to 5 pm
Location - Lubbock TX

Overview

• Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members.
• Conduct screening and risk assessment interventions per program guidelines.

Job Responsibilities:

• Identify special needs members through the completion of health screens and other resources.
• Work with community outreach/member advocates to coordinate member care.
• Educate providers and community resources on program components and available support services.
• Educate members with special needs to foster compliance with program and positively impact outcomes.
• Assist with modification and management of care plans, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician
• Follow up with members/MD via telephone, completing Task assigned
• Documenting the follow up and satisfaction on pending/received services.
• Productivity is determined by outreaching to all effective members weekly and having clear and concise documentation.

Education Required:

• Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4 6 years of related experience

License Required:

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
• NP - Nurse Practitioner - Current State's Nurse Licensure required

Note - Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required

Skills

• Excellent communications skills
• Excellent computer skills
• Home health experience