Senior LTSS Service Care Manager RN

Pyramid Consulting, Inc; Hidalgo (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

Pyramid Consulting, Inc is seeking a Senior LTSS Service Care Manager RN for an immediate contract role in Hidalgo, TX (Remote). The chosen candidate will support healthcare teams, conduct screenings, and manage care plans, requiring an RN license and experience in case management. Employee benefits include health insurance, a 401(k) plan, and paid sick leave.

Benefits

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave

Qualifications

• 1-2 years in Case Management or Home Health experience.
• Licensure Required: Registered Nurse.
• Preferred: RN (1 year experience is ideal).

Responsibilities

• Support medical, behavioral, and social staff to assess needs.
• Conduct screenings and coordinate member care.
• Modify and manage care plans as necessary.

Skills

Case Management

Customer Service Professionalism

Home Health

Education

Associate or bachelor’s degree in nursing

Job description

4 days ago Be among the first 25 applicants

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Pyramid Consulting, Inc provided pay range

This range is provided by Pyramid Consulting, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$42.00/hr - $47.00/hr

Immediate need for a talented Senior LTSS Service Care Manager RN. This is a 06+months contract opportunity with long-term potential and is located in Hidalgo SDA, TX(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-73988

Pay Range: $42 - $47/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:

• Provide support to medical, behavioral and social support staff to determine needs, eligibility and services for members.
• Conduct screening and risk assessment interventions per program guidelines.
• Identify special needs members through the completion of health screens and other resources.
• Work with community outreach/member advocates to coordinate member care.
• Educate providers and community resources on program components and available support services.
• Educate members with special needs to foster compliance with program and positively impact outcomes.
• Assist with modification and management of care plans, medical consenter or caregiver, and family, if applicable, as well as the managing physician
• Efficiency, quality and compliance with timeliness of required assessments and documentation.
• Process improvement to improve overall performance concerns;
• Seeing improvement on UMR cases/audits, improve member outcomes.

Key Requirements and Technology Experience:

• Key skills; RN, Home Health, and Case Management
• MCO experience
• 1-2 years in Case Management or Home Health
• Customer Service Professionalism
• Associate or bachelor’s degree in nursing
• 1-2 yrs experience in Case Management
• Licensure Required: Registered Nurse
• Preferred: RN (1 year is ideal, but manager is willing to be flexible)

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.

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Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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