Clinical - Senior LTSS Service Care Manager (RN) - J01077

Pacer Group

place La Feria, 78559

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Nursing, Other Behavioral, Mental, or Healthcare Field

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Contract-to-Hire

local_atm $48 - $48 hourly

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PTO

Job Title: Sr LTSS Service Care Manager RNLocation: Candidates must reside in TX - La Feria, Harlingen, San BenitoDuration: 6 months | Temp to hire positionShift: 8 am to 5 pm CSTPR: XXXX-48.00/HRNOTE:Training Mon Fri 8am -5pm CST 8 weeks CAMERAS ON NO TIME OFF for first 4 monthsMon Fri 8am 5pm CST; with possible OT required.May need to stay late if needed may need to work a weekend if available No holidays 4-7 visits per week to members homes will be aware in advanceMay need to accommodate to members schedules for home visitsMay need to travel up to 2 hours away Responsibilities:Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcomeDevelops 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 needsCoordinates 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 servicesMonitors 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 / needsMonitors 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 applicableReviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulationsReviews referrals information and intake assessments to develop appropriate care plans / service plansCollaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if neededCollects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelinesProvides 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 benefitsActs as liaison and member advocate between the member/family, physician, and facilities/agenciesEducates and coordinates community resources.Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as requiredPartners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective mannerMay precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readinessMay provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practiceEducation:Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4 6 years of related experienceCertification Required:RN - Registered Nurse - State Licensure and/or Compact State Licensure required Must haves: 4 6 years of related experience, case management, private duty nursing, pediatric population. Bilingual candidates are needed.Skills:Communication written and verbal,Problem solving/Navigating complex challenges/independent work/troubleshooting skills a mustAdaptability/Flexible (may need to accommodate to members schedules for home visits) reliable transportation