New

Senior LTSS Service Care Manager (RN)

United States, Texas, Hidalgo

Apr 28, 2025

Senior LTSS Service Care Manager

06 months (possible extension)

Source from Hidalgo SDA (MEMBER FACING)

Monday - Friday 8 Am - 5 PM

Description:

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. Job Responsibilities: 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.

Requirements
Education/Certification	Required: Associate or bachelor's degree in nursing	Preferred: 1-2 yrs experience in Case Management
Licensure	Required: Registered Nurse	Preferred: RN (1 year is ideal, but manager is willing to be flexible)
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills Nice to haves: MCO experience Disqualifiers: n/a Performance indicators: be self-motivated, organized, and able to prioritize tasks. Possess strong documentation skills and must be able to follow policies and work processes. Best vs. average:
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	1-2 years in Case Management or Home Health
2	Microsoft Office skills
3	Customer Service Professionalism