LTSS Service Care Manager

Title: LTSS Service Care Manager

Location: Hybrid - Cumberland County, NC (Face to Face Member visits, mileage & lodging (If needed) is reimbursed

Duration: 6months (Potential extension or conversion)

Work schedule: 8am-5pm Mon-Fri EST

Training 8-5 Mon-Fri EST learning journey is 3.5 weeks Camera On No Time Off

XXXX: XXXXXXXXXXX8 to XXXXXXXXXXX an hour

Description :

Typical day in a role:

• Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs.
• Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
• Member assessments and notes.
• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
• Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
• Authorize and coordinate referral for services.
• Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
• 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!
• Assist member with filing and resolving complaints and appeals.
• Licensed Clinical Social Worker/Registered Nurse License and 2+ 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.
• Licenses/Certifications: Valid driver's license.

Candidate Requirements:

Required : Bachelor's.

Required : RN and/or LCSW/LCSW-A/BSN/AND.

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. Case management and care planning experience.

Preferred : Home health experience, community health/member facing, discharge planning.

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

• Physical hospital Health, Care Management, Utilization Mgt, Home Health all and/or background
• Microsoft office Tech savvy
• Bedside care management