Clinical - LTSS Service Care Manager - J01031

Job Title: LTSS Service Care Manager RN

Duration: 6 Months (Potential Extension and Conversion to FTE)

Location: Pitt County, NC

Work Schedule: Training 8-5 Mon-Fri EST learning journey is 3.5 weeks CAMERA ON NO TIME OFF

PR: $40-43.00/HR

Note:

• Remote 1-2 admin days a week
• In person visits 3-4 days a week in field (up to 1-4 visits a day **if longer drive time, will likely only be 1 visit a day)

• 2.5hr one way radius from home residence for face-to-face Member visits... mileage and lodging (if needed) will be reimbursed.

• Will be provided with monitor, laptop computer, 2 monitors, cellphone, and safety location tracker for visits.

Day to Day Responsibilities:

• Day to Day Responsibilities of this Position and Description of Project:
• 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.

Licenses/Certifications:

• RN and/or LCSW/LCSW-A/BSN/ADN

• Valid driver's license

Required:

• 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

Skills:

• Physical hospital Health, Care Management, Utilization Mgt, Home Health all and/or background

• Microsoft office Tech savvy

• Bedside care management