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Senior LTSS Service Care Manager
2 months ago
Duration: 06 Months with possible extension
Location: Eagle Pass (Remote) - Field worker -Remote, member visits are within the 2-hour range of employees' homes. Looking for candidates in the Eagle Pass area
Shift Time: 8 am-5 pm, however, the end time varies due to member-facing visits beginning later.
Walk me through the day-to-day responsibilities of this role and a description of the project (Outside of Workday JD):
- Prepare for visits by gathering information on member utilizing our Electronic Medical Record system reviewing diagnosis, meds, recent authorizations.
- Completing visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
- Travel to member home for in person visit lasting 2-4 hours long. Travel can be up to 2 hours one way.
- Submission of assessment within 24 hours. Any requests for services to be initiated within 3 business days. All other documentation due within 5 business days. After 15 business days hand off member to appropriate level to be assigned to permanent care manager/service coordinator.
- Complete Centene University trainings prior to due date.
- Complete any task assignments within turnaround time per work process.
- Complete 6 visits per week
- All documentation submitted within established turnaround times
- Meet quality metrics
- Meet 92% on audits
- Meet 90% on member satisfaction surveys
- Pediatric Private duty nursing
- Pediatric hospital
- Home Health
Required Skills/Experience:
Preferred Skills/ Experience:
1.
Accountability and prioritizing
1.
pediatrics
2.
Clinical judgement
2.
Ability to take direction
3.
team player
3.
Self disciplined sufficient
Education Requirement:
RN ASN, BSN, or MSN
Education Preferred:
Software Skills Required:
All Microsoft applications: word, excel, office, teams, powerpoint
