LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Charlotte, NC - within a 2.5-2.75 hour one-way radius for face-to-face member visits

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

Work Schedule: Training 8-5 Mon-Fri EST (4 weeks, camera on, no time off). Post-training 8-5 Mon-Fri EST

Work Arrangement: Hybrid (Remote administrative days with field-based in-person visits)

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 for long-term care members and educates members and their families/caregivers on available services and benefits.

Background & Context:

Additional staff needed due to business fluctuation.

Key Responsibilities:

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  Managing a case load for healthcare members with LTSS needs.

  
  
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  Monthly and quarterly member contact and will include 80% travel.

  
  
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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 providers 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.

  
  
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  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.

  
  
  
  
  
  
  

  Education/Certification	Required: Bachelor's	Preferred:
  Licensure	Required: RN	Preferred:
  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. Home health experience 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. 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	1	RN Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background
  2	Microsoft office
  3	Bedside care management