Senior LTSS Service Care Manager (RN)

Superior HealthPlan
Any Location, TX
Category Healthcare
Job Description
Role Overview

Performs care management duties to assess and coordinate medical and supporting services for complex/high acuity populations. Develops personalized care plans and educates members and their families on services and benefit options.

What You Will Do

Evaluates service needs, recommends care plans, coordinates with care providers, monitors member status, and revises care plans as necessary.

Why It Might Be a Fit

Requires experience in RN care coordination or case management, with a strong focus on adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care.

Requirements

  • Graduate from an Accredited School of Nursing
  • 4–6 years of related clinical nursing and/or case management and care coordination experience
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure
  • Required Resource Utilization Group (RUG) certification

Benefits

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible work schedule
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