HealthCare Support
Field Pediatric RN Case Manager
HealthCare Support is actively seeking a
Field Pediatric RN Case Manager
to fill an opening with a
Fortune 100 Managed Care company
in the
McAllen/Edinburg area .
Daily Responsibilities for Field Pediatric RN Case Manager
Completing assessments (Biannuals, Annual Reassessments)
Telephonic outreaches
Care coordination
Follow up on request from members/LAR
Complete any assigned trainings
Completing all required documentation
Submitting authorizations
Travel (home visit to complete assessments)
Maintaining audit scores above 92%
Providing member/LAR education
Completing Productivity reports
Follow up on HEDIS measures
Assisting members/LARs with finding PCPs/Specialists, Therapy agency, PCS agency, DME and etc
This will be a Contract position for at least 6 months with potential to convert into a permanent role and target start date will be ASAP
Schedule for the position is Mon-Fri 8-5, must be flexible with hours (may work 5-10 hours of overtime needed to go see a member after hours when they're out of school)
Required Qualifications for Field Pediatric RN Case Manager
4 years of experience as a Registered Nurse
2+ years of Pediatric experience required preferably working with children with disabilities and vulnerable population (this team works with children with special needs and with the IDD/Intellectual and Developmental Disability Waivers, conditions include ID, Autism, Cerebral Palsy, Down Syndrome, Fetal Alcohol Syndrome, developmental delays, spina bifida, deaf or blind)
Home health experience required, case management preferred
Ability to learn new technologies and enter assessments into program as they’re being conducted
Clear and active TX RN license
Clear and active driving record, reliable transportation, and insurance
Preferred Qualifications for Field Pediatric RN Case Manager
Hands off assessments; rely on nursing skills to complete holistic assessment
Bilingual in Spanish is Highly Preferred
Benefits for Field Pediatric RN Case Manager
Immediate enrollment in Health Insurance
Dental Insurance
Life Insurance
Employee Assistance Program (EAP)
Access to Investment Accounts
Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $38/hour - $44/hour
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Field Pediatric RN Case Manager
to fill an opening with a
Fortune 100 Managed Care company
in the
McAllen/Edinburg area .
Daily Responsibilities for Field Pediatric RN Case Manager
Completing assessments (Biannuals, Annual Reassessments)
Telephonic outreaches
Care coordination
Follow up on request from members/LAR
Complete any assigned trainings
Completing all required documentation
Submitting authorizations
Travel (home visit to complete assessments)
Maintaining audit scores above 92%
Providing member/LAR education
Completing Productivity reports
Follow up on HEDIS measures
Assisting members/LARs with finding PCPs/Specialists, Therapy agency, PCS agency, DME and etc
This will be a Contract position for at least 6 months with potential to convert into a permanent role and target start date will be ASAP
Schedule for the position is Mon-Fri 8-5, must be flexible with hours (may work 5-10 hours of overtime needed to go see a member after hours when they're out of school)
Required Qualifications for Field Pediatric RN Case Manager
4 years of experience as a Registered Nurse
2+ years of Pediatric experience required preferably working with children with disabilities and vulnerable population (this team works with children with special needs and with the IDD/Intellectual and Developmental Disability Waivers, conditions include ID, Autism, Cerebral Palsy, Down Syndrome, Fetal Alcohol Syndrome, developmental delays, spina bifida, deaf or blind)
Home health experience required, case management preferred
Ability to learn new technologies and enter assessments into program as they’re being conducted
Clear and active TX RN license
Clear and active driving record, reliable transportation, and insurance
Preferred Qualifications for Field Pediatric RN Case Manager
Hands off assessments; rely on nursing skills to complete holistic assessment
Bilingual in Spanish is Highly Preferred
Benefits for Field Pediatric RN Case Manager
Immediate enrollment in Health Insurance
Dental Insurance
Life Insurance
Employee Assistance Program (EAP)
Access to Investment Accounts
Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $38/hour - $44/hour
#J-18808-Ljbffr