What are the responsibilities and job description for the Case Management Nurse position at IMCS Group?
Job Title: Clinical - Senior LTSS Service Care Manager (RN)
Duration: 06 months Contract.
Desired Start Date/End Date : 6/4/2025 - 12/7/2025
Location: Remote – McAllen, and/or Austin. (CM will be conducting telephonic reviews of assessments. CM will be coordinating care with our members however there is a potential for f2f visits in the future if there is ever a need.)
Shift Type: 8am-5pm for scheduled visits, may need to work after 5pm to complete documentation. Overtime may be available
Job Duties:
• Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care.
• Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.
• Review/research assigned members
• Contact the member the day before to confirm visit and set up telehealth meeting invite
• Explain to member that the visit may take anywhere between 2-3 hours
• Perform assessment either via telehealth (video AND audio) or in-person (in member’s home)
• Contact PCP office to confirm diagnosis and report any abnormal findings
• Upload the MN signature page within 1 business day for attempts to MD signature to begin
• Complete the assessment documentation
• Coordinate assessment finding needs ex—send referrals for DME items covered under the member’s core benefit, initiate non-waiver items/services
• Once the MD signature is received—assessing RN is to sign the MNLOC (assessment) within 24 hours
• Process continues from this point as needed
• Meet contractual requirement for each assessment to be completed within 45 calendar days
• In order to meet the contractual requirements of 45 days internal TAT needs to be met.
Experience Required:
• Home health background, RNs accustomed to performing home visits.
• Have experience with computer charting and know how to navigate all products of Microsoft.
• Reliable transportation/ VALID DL (No company car)
Education/Certification Required:
Graduate from an Accredited School or Nursing or a bachelor’s degree
Salary : $45 - $48
