Position Title: Senior Care Manager
Work Location: Remote – South Carolina (MUST reside in SC; may require travel 25% of time)
Assignment Duration: 4 months
Work Schedule: 8:00 AM – 5:00 PM, Monday to Friday

Position Summary:

• Transition of Care Case Management for Medicaid members

• To complete care assessment after hospitalization and provide case management services as needed

• Working with a great team who collaborates to meet goals

Background & Context:

• Support Medicaid Line of Business (LOB)

• Assist in closing HEDIS care gaps

• Help increase STAR ratings

• High level of team interaction via email and chat

• Hardworking environment with strong team communication

Key Responsibilities:

• Conduct member outreaches after hospital discharge within 10 business days

• Complete care assessments and provide support post-hospitalization

• Collaborate with team virtually and occasionally through travel

• Help improve HEDIS & STAR metrics

Qualification & Experience:

• Education/Certification Required: Bachelor’s Degree, Licensed Health Provider

• Education Preferred: Master’s Degree

• Licensure Required: Licensed Health Provider (RN, LCSW, LMFT, LPC, PsyD, etc., per HEDIS criteria)

• Experience Required: Minimum 2 years as a licensed health provider

• Preferred: Case management experience, psychiatric/mental health background

• Software Skills: MS Office, Word, Excel, Teams

• Other Requirements: Must reside in SC; must be willing to travel up to 25% of the time

 

 


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: $50.00/hr.