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Senior LTSS Service Care Manager (RN)

Senior LTSS Service Care Manager (RN)

Pyramid Consulting, IncDallas, TX, United States
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Immediate need for a talented Senior LTSS Service Care Manager (RN) . This is a 06+months Contract to Hire opportunity with long-term potential and is located in Dallas SDA (including Dallas, Collin, Ellis, Haufman, Rockwall, Hunt, Navarro County)(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID : 25-84467

Pay Range : $40 - $44 / 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 in person 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.
  • Completing daily in person assessment to members within the 7 counties of Dallas SDA.
  • Employee will also complete follow ups outreaches with members / PCP / agencies, completing Tasks assigned.
  • Work hours include Monday-Friday 8-5pm. OT depending on business needs (impacting TAT). Team interaction amongst team via work Team chat and Outlook with peers and leadership and monthly touch base with Manager.
  • Allows flexibility as candidate to work remotely. Team members are willing to assist and answer questions for their colleagues when needed.
  • Great compensation and benefits. Manager always seeking to convert from temp to perm position if available.

Key Requirements and Technology Experience :

  • Key Skills; Case Management, Home health, RN , Managed Care
  • 1-2 yrs experience in Case Manager or home health
  • 1-2 years in Case Management or Home Health
  • Microsoft Office Skills
  • Customer Service Professionalism
  • Education Requirement : ADN or BSN
  • Required Certifications : RN
  • Must have : 1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills
  • Nice to have : MCO experienced.
  • 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 .

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    Care Manager Rn • Dallas, TX, United States

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