Job Title: “Senior LTSS Service Care Manager (RN)”

Location: Remote – McAllen, and/or Austin, TX

Duration: 06 Months of Contract (Possible Extension)

Shift Time: 8:00 AM – 5:00 PM for scheduled visits, may need to work after 5:00 PM to complete documentation. No overtime.

To further discuss this opportunity, feel free to call me once you get a chance on my direct number (254) 309-4905, or let me know the best time to reach you.

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

Required Certifications: Current TX RN license with no stipulations, will have to get RUG certification once hired- reimbursable

Day-to-Day 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 2-3 hours
• Perform assessment either via telehealth (video AND audio) or in-person (in member’s 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 ex—send referrals for DME items covered under the member’s core benefit, initiate non-waiver items/services
• Once the MD signature is received—assessing 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

Tell me about what their first day looks like: Onboarding and completing Centene University Modules/Training

What previous job titles or background work well in this role?

Home health background, RNs accustomed to performing home visits

What makes your team/department/culture special that you would like candidates to know?

We are a statewide team, but help each other when needed--teamwork

Required Skills/Experience:

• Previous Hospice, Home Health or Service Coordination experience preferred.
• Basic computer knowledge and accurate typing
• Flexibility
• Reliable transportation/ VALID DL (No company car)

Software Skills Required: Have experience with computer charting and know how to navigate all products of Microsoft.