LTSS Service Care Manager

Summary





- Location: Cumberland County, NC
- Duration: 6 months, possible to extend
- Work Mode: Remote 1-2 admin days a week, in-person visits 3-4 days a week
- Training: 8-5 Mon-Fri EST, 3.5 weeks, camera on, no time off
- Work Schedule: 8-5 Mon-Fri EST





Responsibilities





- Manage a caseload for healthcare members with LTSS (Long Term Support/Services) needs
- Conduct monthly and quarterly member contact, including 80% travel
- Perform member assessments and document notes
- Complete assessments with members, caregivers, or providers for care plan development
- Monitor service delivery and follow up with members, caregivers, or providers
- Authorize and coordinate referrals for services
- Ensure provider services are delivered without gaps and identify deficiencies in care plans
- Collaborate with discharge planners, physicians, and other parties for care coordination
- Assist members with filing and resolving complaints and appeals





Requirements





- Licensed Clinical Social Worker/Registered Nurse License
- Valid driver's license
- Minimum 2 years of physical health care management experience
- Experience in hospital case management, home health, discharge planning, or long-term care preferred
- Proficiency in Microsoft Office and electronic medical health records





Preferred Skills





- Home health experience
- Community health/member-facing experience
- Discharge planning