Job title: LTSS Service Care Manager
Location: NC Region 4, Hybrid Field Visits role - Alamance Caswell Chatham Durham Franklin Granville Johnston Nash Orange Person Vance Wake Warren Wilson
Preferred From - Durham & Wake counties, NC
Duration: 5months
Schedule: 8am to 5pm | Mon-Fri
Pay rate: $37/hr. on w2
Position Purpose:
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.
Education/Certification:
Required: Requires a Bachelor's degree and 2 – 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Years of experience required:
- 2 years of in-home experience
- Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.
License/Certification:
Required: RN or LCSW
Travel: 5% required
Typical Day in the Role:
Typical Responsibilities:
The day-to-day work includes developing, assessing, and coordinating holistic care management activities that support quality, cost-effective healthcare outcomes. The role may also involve creating or supporting personalized service plans for long-term care members and educating members, families, and caregivers about available services and benefits.
Team Interaction:
The role is part of a collaborative team environment with regular coordination and communication.
Work Environment:
This is primarily a remote role with face-to-face home visits with members. Occasional in-person team meetings. Could be >50% travel.
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.
- 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.
Disqualifiers: lack of in-home clinical experience, non-licensed, unsuccessful background check, no reliable access to their own transportation
Nice to haves: Prior managed care experience
Performance indicators:
- Care Management or In-home clinical experience.
- Ability to work autonomously.
- Strong clinical documentation & computer skills.
Pay: $37.00 per hour
Application Question(s):
- Do you currently hold an active RN or LCSW license?
- Do you have at least 2 years of in-home clinical experience?
Work Location: On the road
