Job Title: Care Manager II
Duration: 6 months with extension
Shift: 8:00am to 5:00pm ( Occasional overtime)
Location Hidalgo SDA Brownsville and surrounding cities/townsTexas
**Candiate should stay under 30 to 40 Miles From McAllen TX**
Walk me through the daytoday responsibilities of this the role and a description of the project :
- Completing assessments
- Completing biannual
- Telephonic outreaches
- Care coordination.
- Follow up on request from members/LAR.
- Complete any assigned training.
- Completing all required documentation
- Submitting authorizations
- Travel (home visit to complete assessments)
- Maintaining at least 92% audit score
- Providing member/LAR education
- Productivity reports
- Follow up with HEDIS measures.
- Assisting members/LARs with finding doctors therapy agency PCS agency DME and etc....
- These are most of the responsibilities listed above.
Describe the performance expectations/metrics for this individual and their team:
- To complete work (listed above) with in turnaround time as listed in work process and contract.
- Maintain at least 92% on audits.
Tell me about what their first day looks like:
- They will receive their login information and spend time with IT setting up their equipment.
- Completing training at university.
- Then the following days will be in training.
What previous job titles or background work well in this role
- They will have to have the RN license and pediatrics is a plus.
What makes your team/department/culture special that you would like candidates to know
- My team are collaborators and help each other out when needed.