Clinical - LTSS Service Care Manager
Pacer Group
Position Title: LTSS Service Care Manager
Location: Remote/Field-Based - Texas (Dallas, Nueces, and Central Service Delivery Areas)
Duration: 12 Months
Schedule: Monday-Friday | 8:00 AM - 5:00 PM
Pay Range: $30.00 - $33.00 hourly on W2 Job Summary
We are seeking an experienced LTSS Service Care Manager to coordinate and manage care for members enrolled in Long-Term Services and Supports (LTSS). This role is responsible for conducting comprehensive member assessments, developing individualized service plans, coordinating healthcare and community resources, and ensuring members receive quality, cost-effective care.
This is a hybrid field-based position requiring approximately 75% travel to conduct in-person member visits throughout assigned Texas service areas. Key Responsibilities
Location: Remote/Field-Based - Texas (Dallas, Nueces, and Central Service Delivery Areas)
Duration: 12 Months
Schedule: Monday-Friday | 8:00 AM - 5:00 PM
Pay Range: $30.00 - $33.00 hourly on W2 Job Summary
We are seeking an experienced LTSS Service Care Manager to coordinate and manage care for members enrolled in Long-Term Services and Supports (LTSS). This role is responsible for conducting comprehensive member assessments, developing individualized service plans, coordinating healthcare and community resources, and ensuring members receive quality, cost-effective care.
This is a hybrid field-based position requiring approximately 75% travel to conduct in-person member visits throughout assigned Texas service areas. Key Responsibilities
- Conduct comprehensive member assessments through telephonic outreach and in-person visits.
- Develop, implement, and monitor individualized care/service plans based on member needs.
- Coordinate healthcare services, community resources, and long-term support programs.
- Educate members and caregivers on available benefits, services, and healthcare options.
- Collaborate with providers, interdisciplinary teams, and community partners to ensure continuity of care.
- Monitor member progress and update care plans as appropriate.
- Complete all required documentation accurately within established turnaround times.
- Maintain compliance with regulatory, quality, and organizational standards.
- Identify and address barriers to care while promoting positive health outcomes.
- Travel approximately 75% of the time to complete 2-3 face-to-face member assessments per day.
- Follow a hybrid schedule consisting of:
- 3 field days focused on member visits and assessments.
- 2 documentation days dedicated to care planning, follow-ups, and completing documentation within the required 3-day turnaround time (TAT).
- Coordinate services, communicate with providers, and manage assigned member caseloads.
- Active Licensed Vocational Nurse (LVN) or Licensed Baccalaureate Social Worker (LBSW) license.
- 2-4 years of experience in care management, service coordination, case management, or LTSS.
- Prior Service Coordinator (SC) or Care Manager (CM) experience preferred.
- Strong organizational and time management skills.
- Excellent communication and interpersonal abilities.
- Proficiency with Microsoft Office and electronic documentation systems.
- Ability to work independently while managing multiple priorities.
- Previous experience in LTSS, Medicaid Managed Care, or Managed Care Organizations (MCOs).
- Experience conducting home visits and community-based member assessments.
- Knowledge of healthcare regulations, care coordination, and community resources.
Vacancy posted 4 days ago
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