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Senior Long Term Case Manager
Job in
Lubbock, Lubbock County, Texas, 79430, USA
Listed on 2026-06-12
Listing for:
Pyramid Consulting, Inc
Full Time
position Listed on 2026-06-12
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
-14673 Pay Range: $38.60 - $43.40/hour . Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities Day‑to‑day responsibilities include managing a complex member caseload, conducting clinical and service coordination reviews, completing required assessments, participating in interdisciplinary collaboration, and ensuring documentation meets regulatory standards. The role actively supports issue resolution, provider coordination, member and caregiver education, and proactive identification of care gaps. Project involvement may include quality initiatives, audit preparation activities, process improvement efforts, and pilot implementations tied to state or organizational priorities.
Performance is measured through a combination of productivity, quality, and compliance metrics, including:
Timeliness of assessments, authorizations, and required outreach Documentation accuracy and audit outcomes Adherence to regulatory and contract requirements Caseload management and member engagement standards Participation in quality improvement and process initiatives Key Requirements and Technology
Experience:
Must have skills:
- ["RN", "Registered Nurse", "Pediatrics" , "Home Visits"] Requires Graduate from an Accredited School of Nursing or a bachelor’s degree and 4–6 years of related experience Years of experience required: 2+ years pediatrics experience, case management, RN required, looking for someone that wants to grow their career. Licensure required:
Must have Active RN License for TX WORK MOTIVATED/Caseload/workload management/ follow processes and policies Advanced documentation/technical system proficiency Ability to independently interpret and apply policy, ability to troubleshoot Our client is a leading Healthcare industry , and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration Pyramid Consulting, Inc.
provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. By applying to our jobs, you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc.
and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here
Position Requirements
10+ Years
work experience
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