LTSS Service Care Manager

Job Title

Location: Iowa, North Carolina, Arkansas

Responsibilities:

• Evaluate the needs of the member and the resources available, recommending and/or facilitating the plan for the best outcome.
• Assist with developing ongoing long-term care plans/service plans and identify providers, specialists, and/or community resources needed for long-term care.
• Coordinate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
• Provide resource support to members and their families/caregivers for various needs (e.g., employment, housing, independent living) based on service assessment and plans.
• Monitor care plans/service plans, member status, and outcomes, providing recommendations based on identified member needs.
• Interact with long-term care healthcare providers and partners to ensure member needs are met.
• Collect, document, and maintain long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations.
• Perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners.
• Provide and/or facilitate education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• Provide feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner.
• Perform other duties as assigned.
• Comply with all policies and standards.

Requirements:

• Bachelor's degree and 2 – 4 years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope, and skill.
• For Iowa: Bachelor's degree with 30 semester hours in a human services field and at least two years of experience in the delivery of services to the population groups, or current state's Registered Nurse (RN) license and at least four years of experience required.
• For North Carolina Standard Plan: Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience; RN or LCSW required.
• For North Carolina Tailored Plan: Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience; RN or LCSW/LCSW-A preferred.
• For Arkansas Total Care plan: Designated as safety sensitive, requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 5% required.