Position Title: Senior LTSS Service Care Manager
Location: Member-Facing - El Paso, TX
Assignment Duration: 6 Months (Potential to Extend/Convert)
Shift: 8 am – 5 pm, may require after-hours visits as per member request

Position Summary:

• Evaluates the service needs of the most complex or high-risk/high-acuity members and recommends a plan for the best outcome

Key Responsibilities:

• Develops and continuously assesses ongoing long-term care plans/service plans

• Collaborates with care management team to identify providers, specialists, and/or community resources

• Coordinates between the member/family/caregivers and care provider team to ensure appropriate person-centered care

• Monitors care/service plans and member status or progress towards goals

• Revises care plans as necessary with member/caregivers/providers

• Monitors member status for complications or clinical symptoms

• Assesses needs for potential entry into a higher level of care and/or waiver eligibility

• Reviews member data to identify trends and improve care and compliance

• Develops care plans based on referrals and intake assessments

• Collaborates with healthcare providers to revise care plans as needed

• Documents and maintains all care management activities in compliance with regulations

• Educates members and families on conditions, care gaps, referrals, and benefits

• Acts as a liaison and advocate between members, physicians, and facilities/agencies

• Coordinates community resources and service authorizations (e.g., meals, housing, ADLs)

• May perform home/site visits (e.g., once a month or more)

• Partners with leadership to enhance care quality and cost-effectiveness

• May precept clinical new hires and guide through onboarding

• May support new hires during readiness checkpoints

• Collaborates with leaders to monitor onboarding and readiness

• Performs other duties as assigned

• Complies with all policies and standards

Qualification & Experience:

• Required Education/Certification: ADN or BSN

• Required Licensure: RN

• Assessment Forms to Complete:

  • SAI Core A to Q

  • ISP

  • EDP

  • 1500 forms, SBP, EVV

• Additional Duties:

  • Assess current health status, treatment history, resource usage

  • Follow up on item/service requests

  • Interact with providers

 

 


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: $42.00/hr.