Senior Care Manager (RN)

Spectraforce Technologies

United States, South Carolina, Columbia

Mar 29, 2025

Title: Senior Care Manager (RN)

Duration: 04 Months

Location: Remote South Carolina (With some member facing)

Mon-Fri | 8A-5P

Description:

Transition of Care Case Management for Medicaid members

This is a position to work the Medicaid LOB and assist in closing HEDIS care gaps and increase STAR ratings.

Responsibilities:

To complete care assessment after a hospitalization and provide case management services as needed to members.

High level of team interaction via email and chatsHard working, great communication between the team

This person will working remote and may also need to travel to see members.

Education/Certification	Required: Bachelor's Degree, Licensed (SEE BOTTOM OF 2^nd PAGE OF FORM FOR ADDITIONAL INFO TO REFERENCE)	Preferred: Master's Degree
Licensure	Required: Licensed Health Provider	Preferred: N/A
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Must have the licensed requirements sent in, Must reside in SC and MUST be willing to travel (25% of the time); 2+ years as a licensed health provider Nice to haves: Case Management experience Disqualifiers: Performance indicators: Outreaches to members after discharge from hospitalizations within 10 business days of discharge Best vs. average:
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	2+ years of clinical experience of psychiatric/mental health
2	Great computer skills and knowledge of navigating systems
3	Commitment
	4	Software skills (MS Office, Word, Excel, Teams)