Job Description

Job Title: LTSS Service Care Manager

Location: Rocky Mount, Jacksonville/Wilmington NC

Assignment Duration: 6-month contract with potential for extension or conversion
Schedule: Monday Friday, 8:00 AM 5:00 PM Fri EST learning journey is 4 weeks CAMERA ON NO TIME OFF

(Work Type: Field-based, member-facing role with required home visits in local area
Travel Requirement: Yes - member home and site visits required



Job Summary

• Additional staff needed due to business fluctuation
• Virtual team meetings CAMERAS ON.

Key Responsibilities

• 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.

Required Qualifications

Licensure

• RN License,

Must Haves

• 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.

Nice to haves

• 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

Job Tags

Similar Jobs