Senior LTSS Service Care Manager, RN

This is a fully remote position, open to applicants in Texas.

📋 Description

• Execute care management responsibilities to evaluate and coordinate medical and supportive services throughout the continuum of care for complex/high-acuity populations.

• Create and continually evaluate individualized long-term care plans/service plans.

• Work collaboratively with care management teams, healthcare providers, specialists, and community resources.

• Facilitate communication between members/families/caregivers and care provider teams to guarantee appropriate person-centered care.

• Track member status, complications, clinical symptoms, care-plan advancement, and condition changes.

• Analyze member data, referrals, and intake assessments to enhance quality and formulate care plans.

• Gather, document, and preserve member information and care management activities to ensure regulatory and clinical compliance.

• Provide education to members and families/caregivers regarding disease processes, care gaps, care options, referrals, benefits, and provider instructions.

• Serve as a liaison and advocate for members between families, physicians, facilities, and agencies.

• Organize community resources and service authorizations, including meals, employment, housing, foster care, transportation, and daily living activities.

• May conduct home or other site visits to evaluate needs and collaborate with resources.

• Partner with leadership to enhance the quality of care and promote cost-effective service delivery.

• May mentor new clinical hires and assist with onboarding, competency evaluations, coaching, and readiness.

• Perform additional duties as assigned.

⛳️ Requirements

• Graduate from an Accredited School of Nursing or possess a Bachelor's degree along with 4–6 years of relevant experience.

• Bachelor's degree in Nursing is preferred.

• RN - Registered Nurse - State Licensure and/or Compact State Licensure is required, or NP - Nurse Practitioner - Current State's Nurse Licensure is required.

• For Superior: Resource Utilization Group (RUG) certification must be acquired within 90 days of employment.

• For Arkansas Total Care plan: a driver's license, child and adult maltreatment checks, and a drug screen are required.

• For Arkansas Total Care plan: must live in AR or a bordering city.

• For Arkansas Total Care plan: 5% travel is required.

• Adherence to all policies and standards is mandatory.

🏝️ Benefits

• Health insurance

• 401K

• Stock purchase plans

• Tuition reimbursement

• Paid time off plus holidays

• Flexible work options including remote, hybrid, field, or office schedules

• Competitive pay

• Additional forms of incentives may be included in total compensation