Clinical - Senior LTSS Service Care Manager (RN) Job at Pyramid Consulting, Inc, Mcallen, TX

K0I1SnFoc1pvUUFUYlNvNGZ3ZFRER256V0E9PQ==
  • Pyramid Consulting, Inc
  • Mcallen, TX

Job Description

Immediate need for a talented Clinical - Senior LTSS Service Care Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in McAllen or Edinburgh TX (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-57298

Pay Range: $40 - $45/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:

  • Completing assessments
  • Completing biannual
  • Telephonic outreaches
  • Care coordination
  • Follow up on request from members/LAR
  • Complete any assigned trainings.
  • Completing all required documentation
  • Submitting authorizations
  • Travel (home visit to complete assessments)
  • Maintaining at least 92% audit score
  • Providing member/LAR education
  • Productivity reports
  • Follow up with HEDIS measures
  • Assisting members/LARs with finding doctors, therapy agency, PCS agency, DME and etc…
  • Describe the performance expectations/metrics for this individual and their team:
  • To complete work (listed above) with in turnaround time, as listed in work process and contract.
  • Maintain at least 92% on audits.
  • Tell me about what their first day looks like:
  • They will receive their log in information and spend time with IT setting up their equipment.
  • Completing trainings in University.
  • Then following days will be in training.
  • What previous job titles or background work well in this role?
  • They will have to have the RN license and pediatrics is a plus.
  • What makes your team/department/culture special that you would like candidates to know?
  • My team are team players and help each other out when needed

Key Requirements and Technology Experience:

  • Key skills; Pediatric Experience
  • RN license
  • Pediatrics
  • Bingual-Spanish
  • Education Requirement: RN
  • Software Skills Required : Computer literacy, needs to be able to work independently
  • Required Certifications : Current TX RN license

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 .

Job Tags

Contract work, Local area, Immediate start,

Similar Jobs

Atlantic MEDsearch

Orthopedic Hand Surgery Job Near Lawrence, KS Job at Atlantic MEDsearch

Join existing orthopedic surgery group w/4 surgeons & experienced surgical team. Responsibilities involve a wide spectrum of hand surgery procedures. Enjoy working w/a loyal office staff, an excellent referral system & a supportive administrative team. New physician must... 

Boston Metal

Custodian Job at Boston Metal

 ...reliable and dedicated Custodian to maintain cleanliness and orderliness in our facilities. The Custodian will be responsible for cleaning and sanitizing various areas of the building, ensuring safety and hygiene standards are met, and providing general maintenance support... 

TEGNA

Account Executive Job at TEGNA

 ...Commissions Leading media products Training resources Generous benefit Career growth opportunities at one of our 64 ABC, NBC, CBS, or FOX stations. What You Will Do: Consistently prospect for new revenue opportunities using client and category... 

Aquent Talent

Digital Illustrator/Sketch Artist Job at Aquent Talent

 ...heavily on leveraging 2D illustration and 3D modeling workflows. This role will be a part of the visualization process for the client's gallery design. Candidates must have strong vision and great attention to detail. You will be working on catalogs. We are looking for... 

Rise48 Equity

Director of Asset Management Job at Rise48 Equity

 ...Are you ready to lead, inspire, and innovate? Rise48 Equity is on the hunt for an exceptional Director of Asset Management to take the reins of our growing Asset Management department. If youre a dynamic, driven professional eager to propel your career to new heights...