Rn Manager Jobs

About The Position

Requirements

• Pediatric experience is required.
• Must be licensed and reside in the San Antonio, Texas area.
• Graduate from an accredited school of nursing or a bachelor's degree.
• 4–6 years of related experience.
• RN state licensure and/or compact-state licensure, or current state nurse licensure as an NP.
• RUG certification must be obtained within 90 days of hire.

Nice To Haves

• Bachelor's degree in Nursing preferred.

Responsibilities

• Evaluate service needs of complex or high-risk/high-acuity members and recommend plans to support the best outcomes.
• Develop and continuously assess long-term care and service plans, collaborating with the care management team to identify providers, specialists, and community resources.
• Coordinate between members or their families and caregivers and care provider teams to ensure appropriate, person-centered care and services.
• Monitor care plans, member status, changes in condition, and progress toward goals; collaborate with members, caregivers, and providers to revise plans as needed.
• Monitor members for complications, clinical symptoms, and other status changes, including possible need for a higher level of care or waiver eligibility.
• Review member data to identify trends and improve operating performance and quality of care in accordance with state and federal regulations.
• Review referral information and intake assessments to develop appropriate care plans.
• Collaborate with healthcare providers to facilitate services or treatments and revise care plans when needed.
• Collect, document, and maintain member information and care management activities in compliance with applicable state, federal, and clinical guidelines.
• Provide or facilitate education for members and their families or caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits.
• Act as a liaison and advocate between members and families, physicians, and facilities or agencies.
• Educate members about and coordinate community resources and service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living.
• Perform home or other site visits, potentially monthly or more often, to assess member needs and collaborate with resources, as required.
• Partner with leadership to improve quality of care and service delivery for long-term care members cost-effectively.
• May precept clinical new hires by coaching, facilitating development, and guiding onboarding.
• May support clinical new hires or preceptees in navigating a Managed Care Organization and provide coaching and shadowing to connect classroom training with field practice.
• May assist new hires or preceptees during onboarding, complete competency checkpoints, and assess readiness for service coordination.
• Work collaboratively with people leaders and cross-functional teams to measure and monitor readiness.
• Perform other duties as assigned.
• Comply with all policies and standards.

Benefits

• Competitive pay
• Health insurance
• 401(k) and stock purchase plans
• Tuition reimbursement
• Paid time off and holidays
• Flexible approach to work with remote, hybrid, field, or office schedules