LTSS Care Manager



23 days ago


Similar Jobs

Job Description

Job Title: LTSS Care Manager
Job Location: Remote - NC  [Working from home along with up to 50% travel conducting fieldwork (in-home visits)]
Job Duration: 03 Months (Contract to Hire)

"Position Purpose:
This licensed professional will be responsible for the oversight and coordination of long term support services / long term care for special (higher acuity) populations residing in the community and/or skilled nursing facilities. Examples include but are not limited to: individuals with 2 or more, higher risk medical or behavioral health conditions (e.g., COPD and Schizophrenia). This position assumes a leadership role with internal and external partners to achieve optimal health care outcomes for the member through effective coordination of care activities.

"Provides care coordination and care management and oversees higher acuity long-term support services / long-term care members. (i.e. individuals with complex medical or behavioral health issues that place populations at greater risk for potentially prevent able events such as avoidable admissions, readmissions, and emergency room visits).

Manages an active caseload based on state mandated ratios according to residential setting, case intensity and acuity.

Partners effectively with the PCP, Specialist, member, member’s family and interdisciplinary care teams (ICT) to develop a Person Centered Care Plan.

Utilizes clinical knowledge and expertise to craft strategies aimed at member education to support self-management and achieve optimal health outcomes.

In partnership with the member, family, physician(s), ICT and other providers, assesses short and long-term member needs, evaluates the need for supportive e services and establishes member driven care management objectives.

Responsible for coordination of service authorizations (i.e. meals, transportation, activities of daily living).

Performs clinical interventions such as education on prescribed medication treatment regimens and counseling.

Ensures comprehensive assessments and person-centered care plans are completed within required time frames and utilizes clinical knowledge and expertise to assess options for care including use of benefits and community resources.

Acts as liaison and member advocate between the member/family, physician and facilities/agencies.

Maintains accurate reports and manages the integrity of care management activities in the electronic care management system, using clinical guidelines.

Educates on and coordinates community resources, to include medical, behavioral and social services.

Applies care management standards and maintains HIPAA standards and confidentiality of protected health information.

Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.

Participates in performance improvement activities.

Performs special projects as assigned.

Additional Responsibilities:
Performs other duties as assigned

Complies with all policies and standards"

Required Other FL LTC Degree requirements are tied to license. See below for details:
Associates’ degree in Nursing;
Bachelor’s degree in social work, sociology, psychology, gerontology, or a related social services field;
Master’s degree in social work, sociology, psychology, gerontology, or a related social services field
Candidate Experience:
Required Other For FL LTC, must meet one of the following:
Possess a minimum of two (2) years of relevant experience and be a Registered Nurse (RN), Licensed Certified Social Worker (LCSW), Licensed Medical Social Therapist (LMST), Licensed Mental Health Counselor (LMHC) and licensed to practice in the State or,
Possess a minimum of four (4) years of relevant experience and be a licensed professional able to practice in the State.
Licenses and Certifications: A license in one of the following is required:
Required Other CPR Certified
Required Other One of the following licenses is required (must be licensed in the state of practice):
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Licensed Certified Social Worker (LCSW)
Licensed Professional Counselor (LPC)
Licensed Medical Social Therapist (LMST)
Licensed Mental Health Counselor (LMHC)

Required Other For NC, LTSS CM applicants must meet the following requirements:
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.
RN or LCSW/LCSW-A required 

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at:
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at if you require reasonable accommodation. 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $38.46/hr.

Similar Jobs