LTSS Service Care Manager

Job Title

Location: Wake County, NC or Charlotte, NC

Pay: Competitive, based on experience

Duration: 6 months with potential for extension or conversion to permanent

Shift: 8-5 Mon-Fri EST

Travel: 80% travel required

Responsibilities:

• Assist in developing, assessing, and coordinating holistic care management activities
• Enable quality, cost-effective healthcare outcomes
• Develop or assist with developing personalized service care plans/service plans for long-term care members
• Educate members and their families/caregivers on services and benefits available to meet member needs
• Manage a case load for healthcare members with LTSS (Long Term Support/Services) needs
• Conduct monthly and quarterly member contact
• Complete assessments with members, caregivers, or providers
• Monitor delivery of services and follow-up with members, caregivers, or providers
• Authorize and coordinate referral for services
• Ensure provider services are delivered without gaps
• Assist in coordinating the development of informal or voluntary services
• Collaborate with discharge planners, physicians, and other parties
• Assist member with filing and resolving complaints and appeals

Requirements:

• Education/Certification: Required: Bachelor's
• Licensure: Required: RN and/or LCSW/LCSW-A/BSN
• Experience: 2-4 years of physical health care management experience required
• Preferred: 4-6 years of physical health care management experience
• Preferred Experience: Hospital CM, Home health, discharge planning, or long-term care experience
• Home health experience

Required Skills:

• RN and/or LCSW
• Experience in physical hospital health, care management, utilization management, or home health
• Proficiency in Microsoft Office

Preferred Skills:

• Experience with Microsoft Office
• Experience with electronic medical health records

Benefits:

• Mileage and lodging reimbursed if needed
• Valid driver's license required
• Quarterly meetings: Once a quarter, attend a team meeting/training session