Job Description
Summary:
Location: Harlingen location, travel required for face-to-face visits
Duration: 6 months
Shift: M-F 8-5 with possibility for overtime and Saturdays
Responsibilities:
Identify any needs new members may have and continue care for anything placed by prior MCO
Prepare for visits by gathering information on member utilizing our Electronic Medical Record system, reviewing diagnosis, medications, and recent authorizations
Complete visits that are: Initial, Change in condition, MDCP, and Level 3 reassessments
Travel to member home for in-person visit lasting 2-4 hours long, travel can be up to 2 hours one way
Submit assessment within 24 hours; any requests for services to be initiated within 3 business days; all other documentation due within 5 business days
After 15 business days, hand off member to appropriate level to be assigned to permanent care manager/service coordinator
Requirements:
Education/Certification: Required: RN ASN, BSN, or MSN
Licensure: Required: RN
More than 3 years as a nurse and 2 years of case management
Preferred Skills:
Pediatric experience
Top 3 must-have hard skills stack-ranked by importance:
Accountability and prioritizing
Clinical judgement
Ability to take direction
AXEL01
