What are the responsibilities and job description for the Care Manager LVN or Social Worker - (Hidalgo County Area Only) position at Media Riders Inc.?
*** Fully Remote in Hidalgo and West Cameron County Area Only ***
** LVN or Social Worker Experience Required / LVN, LPN, LCSW License **
** Bilingual Highly Preferred **
Walk me through the day-to-day responsibilities:
- Completing assessments
- Completing biannual
- Telephonic outreaches
- Care coordination
- Follow up on request from members/LAR
- Complete any assigned trainings.
- 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…
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 log in information and spend time with IT setting up their equipment.
- Completing trainings in Centene University.
- Then following days will be in training.
What previous job titles or background work well in this role?
- They will have to have the LVN license or Social Worker experience.
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