RN Care Manager

1 month ago


Lubbock, United States MRI Full time
Job DescriptionJob Description

** Remote, Must Live in Lubbock Area **

Preferred counties are:

Hockley, Lubbock, Crosby, Terry, Lynn, Garza, Lamb, Hale, and Floyd

**Pediatric Nursing Experience Desired**

Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.

Day-to-day responsibilities of this the role:

  • Complete in-home assessment which includes:

    o SAI Core A to Core Q

    o ISP

    o EDP

    o Other forms as applicable: 1500 forms, SBP, EVV

    o Assessing the member’s current health status, resource utilization, past and present treatment plan and services, short- and long-term goals, treatment and provider options.

    o Follow up on requests for items/services

    o Speaking to providers

Performance expectations/metrics:

  • Complete 6 successful visits per week

    o Submit assessment within 24 hours of visit

    o Submit all other documentation within 5 BD

    · Visits are typically M-F 8-5; however, due to contractual requirements, assessments and documentation do require to be turned in within turnaround times/compliance

    · Due to pediatric population some visits are 3pm or after, we get request for Saturday visits at times

    · Visits are completed in the home setting, travel to members home is necessary.

    · Travelling may be 100 + mile radius.

    o Preferred counties are:

    Hockley, Lubbock, Crosby, Terry, Lynn, Garza, Lamb, Hale, and Floyd

    o Visits will be within the Lubbock Service Delivery Area which includes counties from Hutchinson to Terry, Lynn, and Garza

    o Visits may include surrounding counties

    o Travel time will be taken into consideration and may modify productivity for that week.

Previous job titles or background.

  • Private Duty Nursing

    · Home Health

    · School Nurse

    · Case Management

    · Pediatric Experience

    · Bilingual

    What makes your team/department/culture special that you would like candidates to know?

    · Positive attitude

    · Collaborative

    · Supportive

    · Friendly

    · Flexible

Required Skills/Experience:

  • Registered Nurse
  • Pediatric Experience

Preferred Skills/ Experience:

  • Bilingual
  • Case Management

Education Requirement:

  • ADN or BSN

Required Certifications:

  • Registered Nurse

 

 

Company DescriptionMedia Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).Company DescriptionMedia Riders Inc is a family-owned Recruitment and Staffing Services company. Providing recruitment and payroll services to our customers, who directly support State and/or Federal funded programs. We are an SBA certified Women-Owned Small Business (WOSB) and Texas certified Historically Underutilized Business (TxHub).
  • Pediatric Care RN

    1 week ago


    Lubbock, Texas, United States Thrive Skilled Pediatric Care Full time

    Position OverviewWeekly compensation and generous PTO optionsThrive Skilled Pediatric Care is a premier provider of specialized pediatric home care, seeking dedicated nurses to support our young patients in their homes. We offer a variety of shift options to accommodate your schedule.Available Positions:Full-time, part-time, or per diemCompetitive RN pay...

  • Pediatric Care RN

    1 week ago


    Lubbock, Texas, United States Thrive Skilled Pediatric Care LLC Full time

    Become a Part of Thrive Skilled Pediatric CareThrive Skilled Pediatric Care is a premier provider of in-home healthcare services for children, and we are actively looking for dedicated nurses to enhance our team. We provide a range of shifts, including full-time, part-time, and per diem opportunities.What We Offer:Attractive hourly pay for RNs between $27...


  • lubbock, United States Fresenius Medical Care Full time

    Acute Registered Nurse - RNPURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an...


  • Lubbock, Texas, United States Thrive Skilled Pediatric Care LLC Full time

    About Thrive Skilled Pediatric Care LLCThrive Skilled Pediatric Care LLC is a leading provider of skilled pediatric home care services. Our team of experienced professionals is dedicated to delivering high-quality care to patients in their homes.Job SummaryWe are seeking a skilled and compassionate RN/LVN to join our team as a pediatric home health nurse. As...


  • lubbock, United States UnitedHealth Group Inc Full time

    Care Coach Connect RN Case Manager - Lubbock, TXFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Care Coach Connect RN/Case Manager coordinates care and provides initial...


  • Lubbock, Texas, United States UnitedHealth Group Inc Full time

    Job SummaryWe are seeking a highly skilled and compassionate Care Coach RN Case Manager to join our team at UnitedHealth Group Inc. As a key member of our interdisciplinary team, you will play a vital role in coordinating care and providing ongoing nursing assessment of patients and their families.Key ResponsibilitiesConduct medical home visits on...

  • Care Manager RN

    2 weeks ago


    Lubbock, United States Covenant Health Full time

    Description Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of...

  • Care Manager RN

    6 days ago


    Lubbock, United States Covenant Health Full time

    Description Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and achievement of desired...


  • Lubbock, United States Spectraforce Technologies Full time

    Title: Senior LTSS Service Care Manager (RN)Duration: 06 Months (with possible extension)Location: Remote (Home visits are required Source from Lubbock, Texas) Shift: 8am-5pm Mon - Fri Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD): Review Emails, Calendar Identify and prioritize...


  • Lubbock, United States Spectraforce Technologies Full time

    Title: Senior LTSS Service Care Manager (RN)Duration: 06 Months (with possible extension)Location: Remote (Home visits are required Source from Lubbock, Texas) Shift: 8am-5pm Mon - Fri Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD): Review Emails, Calendar Identify and prioritize...


  • LUBBOCK, United States Superior HealthPlan Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. MUST BE LICENSED AND RESIDE IN THE STATE OF TEXASHybrid Position -...

  • Care Manager

    2 days ago


    Lubbock, Texas, United States Centene Corporation Full time

    About the RoleWe are seeking a highly skilled Care Manager - Behavioral Health to join our team at Centene Corporation. As a key member of our healthcare team, you will play a critical role in developing and implementing care plans that meet the unique needs of our members.Key ResponsibilitiesEvaluate the needs of our members with complex mental health needs...


  • Lubbock, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.**Licensed Behavioral Health professionals - LPC, LCSW, or RN with...


  • Lubbock, TX, United States Fresenius Medical Care Full time

    Acute Registered Nurse - RN PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an...


  • Lubbock, United States Centene Corporation Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. **Licensed Behavioral Health professionals - LPC, LCSW, or RN with...


  • Lubbock, United States BrightStar Care Full time

    As an Intake Nurse. RN you will be part of the intake process. You will be responsible for assessing the environment, coordinating the care, and serves as the first contact for our clients. This is an exciting role for an RN who enjoys a fast-paced environment and the ability to expand and maintain a vast nursing skill set. Your schedule & pay scale: * full...


  • Lubbock, United States Spectraforce Technologies Full time

    Title: Senior LTSS Service Care Manager (RN) Duration: 06 Months Location: Hutchinson, Potter, Carson, Deaf Smith and Randall 8 am to 5 pm, may require after-hour visits as per member requestDay-to-day responsibilities: Complete in-home assessment which includes: SAI Core A to Core Q ISP EDP Other forms as applicable: 1500 forms, SBP, EVV Assessing the...


  • Lubbock, United States Spectraforce Technologies Full time

    Title: Senior LTSS Service Care Manager (RN) Duration: 06 Months Location: Hutchinson, Potter, Carson, Deaf Smith and Randall 8 am to 5 pm, may require after-hour visits as per member requestDay-to-day responsibilities: Complete in-home assessment which includes: SAI Core A to Core Q ISP EDP Other forms as applicable: 1500 forms, SBP, EVV Assessing the...


  • Lubbock, United States Superior HealthPlan Full time

    Job DescriptionYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Licensed Behavioral Health professionals - LPC, LCSW,...


  • LUBBOCK, United States Superior HealthPlan Full time

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Licensed Behavioral Health professionals - LPC, LCSW, or RN with...