Position Title: LTSS Service Care Manager J01031
Work Location: Member-facing - Corpus Christi, TX
Assignment Duration: 3 months
Work Schedule: Mon-Fri 8 am-5 pm Position Summary:
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Key Responsibilities:
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned
Complies with all policies and standards
Qualification & Experience:
Candidate Requirements |
Education/Certification |
Required: Bachelor's degree in Social Work, Health Services, Behavioral Science or related field, or equivalent experience. LVN all accepted |
Preferred: |
Licensure |
Required: DL |
Preferred: LVN, Social Worker |
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
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Must haves:
Nice to haves: Service Coordination, Case Management or Nursing experience preferred.
Disqualifiers:
Performance indicators: |
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
|
1 |
2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions. |
2 |
Technology and computer skills: TEAMS, office, excel, powerpoint, cellphone |
3 |
Flexibility to travel 75% of time |
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