**Remote, San Antonio and surrounding area, and Del Rio/Eagle Pass regions**

***MUST LIVE IN SAN ANTONIO AND SURROUNDING AREAS***

Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):

• Making phone calls to members for contractual outreaches, conducting in home visits with members. Assisting with various needs for member such as DME and waiver needs.

Describe the performance expectations/metrics for this individual and their team:

• We utilized audits and spot checks to ensure appropriate usage of work processes.

Tell me about what their first day looks like:

• Working through trainings and learning about STAR Kids

What previous job titles or background work will in this role?

• Nurses with experience in case management, and backgrounds working with children and those with intellectual disabilities.

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

Licenses/Certifications: Current state’s RN license.

Texas Requirements:

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2 years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.