Senior LTSS Service Care Manager (RN)

Spectraforce Technologies

United States, Texas, McAllen

Dec 20, 2024

Title: Senior LTSS Service Care Manager (RN)

Duration: 06 Months (Potential to extend)

Location: Remote - McAllen, and/or Austin. (3 days member visit)

Walk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):

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

Required Skills/Experience:	Previous Hospice, Home Health or Service Coordination experience preferred.	Additional Notes
1.	Basic computer knowledge and accurate typing	1.	ONLY submit candidates who have been FULLY VACCINATED
2.	Flexibility	2.	CM will be reimbursed for mileage
3.	Reliable transportation/ VALID DL (No company car)	3.	CM will need to come in office if additional coaching is needed or performance issues arise
Education Requirement:	RN	Education Preferred:
Software Skills Required:	Have experience with computer charting and know how to navigate all products of Microsoft.
Required Certifications:	Current TX RN license with no stipulations, will have to get RUG certification once hired- reimbursable	Required Testing: