Senior LTSS Service Care Manager (RN) at Spectraforce Technologies

Position Title: Senior LTSS Service Care Manager (RN)
Work Location: San Antonio, TX
Assignment Duration: 6 months
Work Schedule:
Work Arrangement:
Position Summary:

• Develops 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 needs

• Coordinates 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 services

• Monitors 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 / needs

• Monitors 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 applicable

• Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations

• Reviews referrals information and intake assessments to develop appropriate care plans / service plans

• Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed

• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines

• Provides 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 benefits

Background & Context:

• Candidate Requirements

Key Responsibilities:

• Education/Certification Required: Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience Preferred:

• Licensure Required: RN

Qualification & Experience:

• 1 Pediatrics, NICU, PICU

• 2 Date entry
  
  

  Candidate Requirements
  Education/Certification	Required: Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience			Preferred:
  Licensure	Required: RN,			Preferred:
  Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: Nice to haves: organized, Excel, Disqualifiers: Performance indicators:
  Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	Pediatrics, NICU, PICU
  		2	Date entry
  		3