Job Description

** Remote, Must Live in Dallas Area **

**Hospital & Community Based Care Management Nursing Experience Desired**

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.

Day-to-day responsibilities of this the role:

• Work in community assessing members doing Waiver Assessments, coordination of services for members, communication with providers and shareholders, authorization requests and follow ups

Performance expectations/metrics:

• Conduct nursing assessments, documentation, and follow ups correctly and timely

Previous job titles or background.

• Case management, Hospital setting, Critical Care

Required Skills/Experience:

• Communication skill,
• Organization
• Communication skills

Preferred Skills/ Experience:

• Community based care management
• Hospital
• Critical care

Required Certifications:

• Registered Nurse
• RUG – Can be obtained upon hire

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