Senior LTSS Service Care Manager (RN)

Spectraforce Technologies

United States, Texas, McAllen

Apr 28, 2025

Title: Senior LTSS Service Care Manager (RN)

Duration: 6 Months

Location: Remote TX - Face-to-face McAllen, and/or Austin.

Will be expected to cover ALL counties on their SDA

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

Review/research assigned members
Contact the member the day before to confirm visit and set up telehealth meeting invite
Explain to member that the visit may take anywhere between 2-3 hours
Perform assessment either via telehealth (video AND audio) or in-person (in member's home)
Contact PCP office to confirm diagnosis and report any abnormal findings
Upload the MN signature page within 1 business day for attempts to MD signature to begin
Complete the assessment documentation
Coordinate assessment finding needs ex-send referrals for DME items covered under the member's core benefit, initiate non-waiver items/services
Once the MD signature is received-assessing RN is to sign the MNLOC (assessment) within 24 hours
Process continues from this point as needed

Candidate Requirements
Education/Certification	Required: Graduate from an Accredited School or Nursing or a Bachelor's degree	Preferred: Bachelor's
Licensure	Required: Current TX RN license with no stipulations, will have to get RUG certification once hired- reimbursable	Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Home health background, RNs accustomed to performing home visits. Have experience with computer charting and know how to navigate all products of Microsoft. Nice to haves: Previous Hospice, Home Health or Service Coordination experience preferred. Disqualifiers: Performance indicators: Punctual and dependable, CM will be reimbursed for mileage, CM will need to come in office if additional coaching is needed or performance issues arise
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Basic computer knowledge and accurate typing
2	Flexibility
3	Reliable transportation/ VALID DL (No company car)