A-Line Staffing is now hiring RN Case Manager in the Harlingen, TX or surrounding city areas. The RN Case Manager would be working for a Major Health Plan and has career growth potential. This would be full time / 40 hours per week.

RN Case Manager Compensation:

• The pay for this position is $35 - $45 hourly (plus mileage reimbursement for fieldwork)
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

RN Case Manager Highlights:

• The required availability for this position is as follows: Mon-Fri 8am-5pm
• Hybrid role based in Harlingen TX and the surrounding area cities would be in Hidalgo County: Member facing/Field worker expectation is 2 days remote/3 days of home visits. Distance varies on were member lives 10-30 mile radius but visits are kept as close as possible to RN.

RN Case Manager 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

Performance expectations/metrics:

• To complete work (listed above) with in turnaround time, as listed in work process

• Maintain at least 92% on audits.

RN Case Manager Requirements:

• Pediatrics or experience working with Children
• Must have active RN license with Texas nursing board.
• Must have active driver’s license and reliable transportation.
• Case Manager or Service Coordinator background preferred
• Comfortable with Microsoft Suite (Excel, Word, Teams, Outlook) and Zoom.

RN Case Manager Preferred Qualifications:

• Case manager with a health plan
• Associates in Nursing or Bachelor of Science in Nursing preferred

If you are interested in this Case Manager RN position, please apply to this posting with Silvana Manzella at A-Line!