New

Senior LTSS Service Care Manager (RN) - J01077

remote work

United States, Texas, McAllen

Jun 06, 2025

Position Title: Senior LTSS Service Case Manager (RN)

Work Location: Member-Facing - Source from Hidalgo SDA, TX

Assignment Duration: 6 Months (Potential to extend)

Work Schedule: Monday - Friday 8-5

Position Summary:

Assesses, plans, implements, and coordinates holistic care management activities to enable quality, cost-effective healthcare outcomes.
May develop or assist with creating personalized care plans/service plans for long-term care members.
Educates members and their families/caregivers on services and benefits available to meet member needs.

Background & Context:

May perform home and/or other site visits to assess members' needs and collaborate with healthcare providers and partners.
Allows flexibility for remote work; team collaboration is encouraged.
Strong potential for temp-to-perm conversion.

Key Responsibilities:

Assists with developing and continuously assessing long-term care plans and identifies providers, specialists, or community resources needed.
Coordinates and manages services between members, families, and care teams.
Monitors care/service plans and member outcomes; updates plans as needed.
Identifies care management barriers and interventions.
Provides resource support (e.g., housing, employment, independent living).
Reviews member data for trends and regulatory compliance.
Collaborates with healthcare partners to ensure needs are met and adjusts care plans.
Collects and documents all care management activities to meet regulatory standards.
Educates members/families on care procedures, services, and benefits.
Partners with leadership to improve care quality and cost-effectiveness.
Trains and guides other team members.
May assist with projects or other duties as needed.
Supports medical, behavioral, and social teams to determine member needs and eligibility.
Conducts screenings and risk assessments.
Coordinates with community outreach and educates providers on services.
Encourages member program compliance to improve outcomes.
Manages care plans and medical consent processes.
Ensures timely assessments and documentation.
Performs outreach, completes follow-ups, and maintains team communication.
May work overtime depending on business needs.

Must-haves:

1-2 yrs experience in Case Management or Home Health, Computer skills, phone skills

Nice to have:

Candidate Requirements
Education/Certification	Required: Associate's or bachelor's degree in nursing	Preferred: 1-2 yrs experience in Case Management
Licensure	Required: Registered Nurse	Preferred: RN (1 year is ideal, but the manager is willing to be flexible)