HealthCare Support
Case Manager
HealthCare Support is actively seeking a
Case Manager
to fill an opening with a
Managed Care Company
in
Odessa, TX .
Daily Responsibilities for Case Manager:
Determine needs and eligibility of members for various services through field-based collaboration with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel for visits seeing the members in their home and 2 days working remote for documentation of assessments as well as any follow up and tasks required to work . SC will be assessing the member for approval or denial of personal attendant services to assist with Activities of daily living by filling out a H2060 form in the field . LTSS Service CM will fill out a required assessment and all forms, document their assessments and submitting for authorization or denial of services within a 3Business day turnaround. Evaluates the needs of the most complex and high risk members and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Educates on and coordinates community resources, to include medical and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Must meet Quality standards of assessments of 92% or above Documentation must be completed for assessments within 3 BD turn around time Required travel of 75%:
Home field visits in either Odessa/ Andrews/ Fort Stockton/ Pecos/ Monahans/ Kermit/ Alpine, Texas (Travel up to 75% of the time with visits up to 2 hours away each way, 3 days in the field and 2 remote for documentation)
Shift: M-F 8-5pm Required Qualifications for Case Manager:
5+ years of experience working with the aging, blind, or disabled population (this must be listed on resume or manager will DQ) Examples: Aging: Dementia, alzheimers, arthritis, heart failure Disabled: Parkinson's, muscular dystrophy, motor neurone disease, neurological disorders, mental health conditions, musculoskeletal disorders, autism, hearing impairment, intellectual disability, et Clear and active Texas LVN or LSW license or Bachelor's degree Bilingual in Spanish highly preferred Good job tenure Bachelor's degree in Social Work, Health Services, Behavioral Science or related field or HS diploma or GED ok if LVN Microsoft Office, excel and reliable internet Clear and active driver's license, reliable transportation, and insurance
Preferred Qualifications for Case Manager:
Service Coordination, Case Management or Nursing experience preferred.
Benefits for 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: $25 to $27 per hour
Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to karla.roque@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out. Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
HealthCare Support is actively seeking a
Case Manager
to fill an opening with a
Managed Care Company
in
Odessa, TX .
Daily Responsibilities for Case Manager:
Determine needs and eligibility of members for various services through field-based collaboration with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel for visits seeing the members in their home and 2 days working remote for documentation of assessments as well as any follow up and tasks required to work . SC will be assessing the member for approval or denial of personal attendant services to assist with Activities of daily living by filling out a H2060 form in the field . LTSS Service CM will fill out a required assessment and all forms, document their assessments and submitting for authorization or denial of services within a 3Business day turnaround. Evaluates the needs of the most complex and high risk members and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Educates on and coordinates community resources, to include medical and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Must meet Quality standards of assessments of 92% or above Documentation must be completed for assessments within 3 BD turn around time Required travel of 75%:
Home field visits in either Odessa/ Andrews/ Fort Stockton/ Pecos/ Monahans/ Kermit/ Alpine, Texas (Travel up to 75% of the time with visits up to 2 hours away each way, 3 days in the field and 2 remote for documentation)
Shift: M-F 8-5pm Required Qualifications for Case Manager:
5+ years of experience working with the aging, blind, or disabled population (this must be listed on resume or manager will DQ) Examples: Aging: Dementia, alzheimers, arthritis, heart failure Disabled: Parkinson's, muscular dystrophy, motor neurone disease, neurological disorders, mental health conditions, musculoskeletal disorders, autism, hearing impairment, intellectual disability, et Clear and active Texas LVN or LSW license or Bachelor's degree Bilingual in Spanish highly preferred Good job tenure Bachelor's degree in Social Work, Health Services, Behavioral Science or related field or HS diploma or GED ok if LVN Microsoft Office, excel and reliable internet Clear and active driver's license, reliable transportation, and insurance
Preferred Qualifications for Case Manager:
Service Coordination, Case Management or Nursing experience preferred.
Benefits for 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: $25 to $27 per hour
Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to karla.roque@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out. Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.