Senior LTSS Service Care Manager (RN)

Spectraforce Technologies
United States, Texas, El Paso
Jun 09, 2025
Position Title: Senior LTSS Service Care Manager Location: Member-Facing - El Paso, TX Assignment Duration: 6 Months (Potential to Extend/Convert) Shift: 8 am - 5 pm, may require after-hours visits as per member request Position Summary: Evaluates the service needs of the most complex or high-risk/high-acuity members and recommends a plan for the best outcome Key Responsibilities: Develops and continuously assesses ongoing long-term care plans/service plans Collaborates with care management team to identify providers, specialists, and/or community resources Coordinates between the member/family/caregivers and care provider team to ensure appropriate person-centered care Monitors care/service plans and member status or progress towards goals Revises care plans as necessary with member/caregivers/providers Monitors member status for complications or clinical symptoms Assesses needs for potential entry into a higher level of care and/or waiver eligibility Reviews member data to identify trends and improve care and compliance Develops care plans based on referrals and intake assessments Collaborates with healthcare providers to revise care plans as needed Documents and maintains all care management activities in compliance with regulations Educates members and families on conditions, care gaps, referrals, and benefits Acts as a liaison and advocate between members, physicians, and facilities/agencies Coordinates community resources and service authorizations (e.g., meals, housing, ADLs) May perform home/site visits (e.g., once a month or more) Partners with leadership to enhance care quality and cost-effectiveness May precept clinical new hires and guide through onboarding May support new hires during readiness checkpoints Collaborates with leaders to monitor onboarding and readiness Performs other duties as assigned Complies with all policies and standards Qualification & Experience: Required Education/Certification: ADN or BSN Required Licensure: RN Assessment Forms to Complete: SAI Core A to Q ISP EDP 1500 forms, SBP, EVV Additional Duties: Assess current health status, treatment history, resource usage Follow up on item/service requests Interact with providers