Location: Remote (member facing position) Texas, Lubbock service delivery area. Travelling may be 100 + mile radius.
Duration: 6 months possible extension
Shift: 8:00 am to 5:00 PM EST
Position Summary
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Complete in-home assessment which includes:
SAI Core A to Core Q
ISP
EDP
Other forms as applicable: 1500 forms, SBP, EVV
Assessing the member’s current health status, resource utilization, past and present treatment plan and services, short- and long-term goals, treatment and provider options.
Follow up on requests for items/services.
Speaking to providers
Describe the performance expectations/metrics for this individual and their team:
Complete 6 successful visits per week
Submit assessment within 24 hours of visit.
Submit all other documentation within 5 BD.
Visits are typically M-F 8-5; however, due to contractual requirements, assessments and documentation do require to be turned in within turnaround times/compliance.
Due to the pediatric population some visits are 3pm or after, we get request for Saturday visits at times.
Visits are completed in the home setting, travel to members home is necessary.
Travelling may be 100 + mile radius.
Preferred counties are:
Hockley, Lubbock, Crosby, Terry, Lynn, Garza, Lamb, Hale, and Floyd
Visits will be within the Lubbock Service Delivery Area which includes counties from Hutchinson to Terry, Lynn, and Garza
Visits may include surrounding counties.
Travel time will be taken into consideration and may modify productivity for that week.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Other
Industries
Staffing and Recruiting
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