Job Title: Senior LTSS Service Care Manager (RN)
Location: McAllen, TX area (Field-based with remote administrative work)
Type: 6-Month Contract
Start Date: April 21, 2025
Schedule: Monday-Friday, 8am-5pm CST (OT may be required based on caseload)
Travel: Up to 2-member home visits per day, 3 days a week. Occasional travel to Corpus Christi (2x/month)
About the Role
We are seeking a Senior LTSS Service Care Manager (RN) to join our STAR Kids service coordination team. This is a field-based position focused on children with special needs receiving IDD waiver services (CLASS, DBMD, TxHmL, and HCS waivers). You will coordinate care, complete assessments, and work closely with interdisciplinary teams and external providers to ensure comprehensive service delivery.
What You'll Do
- Perform member assessments both telephonically and in-home
- Coordinate care with providers including private duty nursing, DME suppliers, and pharmacies
- Collaborate with IDD waiver case managers to meet the comprehensive needs of members
- Maintain a caseload of 65 members with monthly telephonic and quarterly field visits
- Document all activities per Centene policies and regulatory guidelines
- Work independently while maintaining consistent communication with remote team
Who You Are
- Licensed RN (Required)
- Associate's Degree in Nursing required; BSN preferred
- Bilingual (English/Spanish) strongly preferred
- Minimum 2 years of clinical nursing in acute, clinical, or community settings
- 1+ years of case management in managed care setting
- Comfortable using Microsoft Office and navigating healthcare systems
- Experienced with medical decision tools such as InterQual or NCCN
- Strong self-starter with high accountability and member-first mindset
Why Join Us
- Be part of a collaborative, remote-first team supporting vulnerable pediatric populations
- Gain deep experience in IDD case management and Medicaid waiver programs
- Enjoy the flexibility of hybrid work while making a real difference in the community
- Supportive leadership with regular team check-ins and resources for success
Interview Process
- 1 Virtual Interview via Microsoft Teams (Camera On)
- Quick turnaround - Candidate reviews begin 1-2 days post shortlisting
Additional Notes
- Background check required
- Sub-contracting not permitted
- This is a contract-only role, no conversion to FTE
Apply today to become part of a compassionate team dedicated to improving lives across Texas.