Position Title: LTSS Care Navigator
Work Location: Remote - Source from San Antonio, TX. Not doing member visits, but team building exercises do occur occasionally and training. Issues with tech can be fixed in office as well.
Assignment Duration: 3 months
Work Schedule: 8am–5pm CST

Position Summary:

• 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.

Key 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 on-site visits to assess member's needs and collaborates with providers or resources, as appropriate

• 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

Qualification & Experience:

• Requires a Bachelor's degree and 1 year of related experience.

• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

• Candidate must meet one of the 3 following criteria:

  • RN licensed in Illinois.

  • Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as:

    • Child, Family and Community Services

    • Early Child Development

    • Guidance and Counseling

    • Home Economics–Child and Family Services

    • Human Development Counseling

    • Human Service Administration

    • Human Services

    • Master of Divinity

    • Pastoral Care

    • Pastoral Counseling

    • Psychiatric Nursing

    • Psychiatry

    • Psychology

    • Public Administration

    • Rehabilitation Counseling

    • Social Science

    • Social Services/Social Work

    • Sociology

  • LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly

• In addition to meeting one of the above criteria, must have experience working with:

  • Addictive and dysfunctional family systems

  • Racial and ethnic minorities

  • Homosexuals and bisexuals

  • Persons with AIDS

  • Substance abusers

 

 


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: $18.00/hr.