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 Hidalgo and Brownsville TX (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-68389

Pay Range: $40 - $45/hour. + Mileage(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

Key Requirements and Technology Experience:

• Skills-Pediatrics, Home Health, RN and Pediatrics.
• They will have to have the RN license and pediatrics is a plus. Outlook, excel, word, Microsoft teams experience.
• Pediatrics Experience.
• Requires Graduate from an Accredited School or Nursing or a bachelor's degree and 4-6 years of related experience.
• Bachelor's degree in nursing preferred.

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 here.

#prof