Senior LTSS Service Care Manager (RN)

Position Title: Senior LTSS Service Care Manager (RN)

Work Location: San Antonio, TX

Assignment Duration: 6 months

Work Schedule:

Work Arrangement:

Position Summary:

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  Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs

  
  
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  Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services

  
  
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  Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs

  
  
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  Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable

  
  
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  Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations

  
  
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  Reviews referrals information and intake assessments to develop appropriate care plans / service plans

  
  
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  Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed

  
  
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  Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines

  
  
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  Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits

  
  

Background & Context:

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  Candidate Requirements

  
  

Key Responsibilities:

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  Education/Certification Required: Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience Preferred:

  
  
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  Licensure Required: RN

  
  

Qualification & Experience:

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  1 Pediatrics, NICU, PICU

  
  
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  2 Date entry

  
  
  
  
  
  
  

  Candidate Requirements
  Education/Certification	Required: Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience	Preferred:
  Licensure	Required: RN,	Preferred:
  Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Nice to haves: organized, Excel, Disqualifiers: Performance indicators:
  Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Pediatrics, NICU, PICU
  2	Date entry
  3