REMOTE TELEPHONIC CASE MANAGER, LTSS (RN) – TX

✨ About The Role

- The role involves working with members, providers, and multidisciplinary teams to assess, plan, and coordinate integrated care delivery for individuals with high need potential - Responsibilities include conducting face-to-face comprehensive assessments, developing case management plans, and monitoring care plan effectiveness - The position requires promoting integration of services, assessing medical necessity, and authorizing appropriate waiver services - The job involves conducting home visits, facilitating care team meetings, and providing consultation and education to non-RN case managers - The role also includes assessing for barriers to care, providing care coordination, and developing prevention plans to ensure member health and welfare

⚡ Requirements

- Experience in case management, disease management, or managed care settings, with at least 3-4 years of relevant experience - Strong knowledge of healthcare services and the ability to work with individuals with disabilities and chronic conditions - Skilled in conducting comprehensive assessments, developing care plans, and monitoring progress towards desired outcomes - Ability to work collaboratively with multidisciplinary teams and healthcare professionals to address member needs and goals - Proficient in conducting home visits, medication reconciliation, and providing education and support to members with complex medical conditions