Clinical - LTSS Service Care Manager

LTSS Service Care Manager

Location: Remote/Field-Based Texas (Dallas, Nueces, and Central Service Delivery Areas) Duration: 12 Months Schedule: MondayFriday | 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.

Daily Responsibilities

• Travel approximately 75% of the time to complete 23 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.

Required Qualifications

• Active Licensed Vocational Nurse (LVN) or Licensed Baccalaureate Social Worker (LBSW) license.
• 24 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.

Preferred Qualifications

• 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.