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Care Manager

1 month ago

McAllen, United States MRI Full time
Job DescriptionJob Description

** Remote, Must Live in Mcallen Area **

Preferred cities: Mcallen, Edinburg, Pharr, Mission, and Weslaco area

**Hospital & Home Health 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:

  • Transcribing of assessments and possibly follow ups with members, completing Task assigned

Performance expectations/metrics:

  • 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. Conduct site visits as appropriate for programs and provide support to other special programs. Assist with modification and management of care plans, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.

Previous job titles or background.

  • Minimal experience. 1-2 years of experience Hospital/ Home Health.

Required Skills/Experience:

  • RN (1 year is ideal, but manager is willing to be flexible)

    Computer skills, phone skills

Preferred Skills/ Experience:

  • Home Health

Required Certifications:

  • Registered Nurse
  • RUG – Can be obtained upon hire
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).