LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: NC - Charlotte

Assignment Duration: 6 months (Possibility to extend or convert)

Work Schedule: 8-5 Mon-Fri EST

Work Arrangement: Remote 1-2 admin days a week

Position Summary: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. Will develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Background & Context:

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  Additional staff needed due to business fluctuation

  
  
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  Virtual team meetings - CAMERAS ON
  
  Key Responsibilities:

  
  
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  Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs.

  
  
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  Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.

  
  
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  Member assessments and notes.

  
  
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  Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.

  
  
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  Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact

  
  
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  Authorize and coordinate referral for services.

  
  
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  Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.

  
  
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  Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services!

  
  
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  Assist member with filing and resolving complaints and appeals.
  
  Qualification & Experience:

  
  
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  Education/Certification - Required: Bachelor's

  
  
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  Licensure - Required: RN and/or LCSW/LCSW-A/BSN

  
  
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  Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred. Hospital CM, Home health, discharge planning, or long-term care experience preferred.

  
  
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  Home health experience

  
  
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  Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.

  
  
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  Additional qualities to look for: Virtual, All Microsoft office, Experience with electronic medical health records
  
  Top 3 must-have hard skills stack-ranked by importance:

  
  

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   RN - Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background

   
   
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   Microsoft office

   
   
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   Bedside care management