Clinical - Senior LTSS Service Care Manager (RN)
Immediate need for a talented Clinical - Senior LTSS Service Care Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in McAllen or Edinburgh TX (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-57298 Pay Range: $40 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Completing assessments Completing biannual Telephonic outreaches Care coordination Follow up on request from members/LAR Complete any assigned trainings. 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) 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 log in information and spend time with IT setting up their equipment. Completing trainings in University. Then 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 team players and help each other out when needed Key Requirements and Technology Experience: Key skills; Pediatric Experience RN license Pediatrics Bingual-Spanish Education Requirement: RN Software Skills Required: Computer literacy, needs to be able to work independently Required Certifications: Current TX RN license Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy . Apply Job!