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LTSS Service Care Manager

Axelon

Summary:
  • Duration: 5 months contract with possible conversion but no guarantee
  • Work Mode: Remote
  • Location: Durham & Wake counties, NC - Region 4, EST zone
  • Shift: 8am-5pm EST, Monday - Friday
Responsibilities:
  • Develop, assess, and coordinate holistic care management activities to support quality, cost-effective healthcare outcomes.
  • Create or support personalized service plans for long-term care members.
  • Educate members, families, and caregivers about available services and benefits.
  • Evaluate the needs of the member and recommend or facilitate the best outcome plan.
  • Assist in developing ongoing long-term care plans/service plans and identify necessary providers and resources.
  • Coordinate between members, families, caregivers, and the care provider team to ensure service accessibility.
  • Provide resource support for various needs based on service assessment and plans.
  • Monitor care plans/service plans and provide recommendations based on member needs.
  • Interact with healthcare providers and partners to ensure member needs are met.
  • Collect, document, and maintain member information and care management activities for compliance.
  • Perform home or site visits to assess member needs and collaborate with healthcare providers.
  • Provide education on procedures, healthcare provider instructions, service options, referrals, and benefits.
  • Offer feedback to leadership to improve quality of care and service delivery.
Requirements:
  • Requires a Bachelor's degree and minimum 2 years of related experience.
  • Licensure: RN or LCSW required.
  • Minimum 2 years of in-home experience.
  • Experience in LTSS and/or HCBS coordination, care delivery monitoring, and care management.
  • Experience in social work, geriatrics, gerontology, pediatrics, or human services.
  • Reliable access to own transportation.
Preferred Skills:
  • Prior managed care experience.
  • Ability to work autonomously.
  • Strong clinical documentation and computer skills.
Vacancy posted 4 days ago
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