Job Description
Position Title: LTSS Service Care Manager
Work Location: Pharr, TX
Assignment Duration: 3 months Contract to Hire
Work Arrangement: Field-based with home/site visits
Position Summary:
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Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
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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
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Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
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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
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Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
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Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
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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
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May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners
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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
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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
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Performs other duties as assigned
Qualification & Experience:
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Licensure – Required: LPN, LVN, LSW, TX Driver License
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Tools/Skills Required: Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed
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Nice to Have: Field work experience with elderly and disabled population
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Experience Required: 2+ years in managed care or working with people with disabilities/vulnerable populations who have chronic or complex conditions
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Language Requirement: Must be bilingual in English and Spanish
Candidate Requirements Education/Certification Required: Preferred: Licensure Required: LPN, LVN, LSW, TX Driver License Preferred: - Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
Must haves:
Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed
Nice to haves: Field Work experience with the elderly and disabled population
Disqualifiers:
Performance indicators:
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
1 Speak/Write English & Spanish 2 Know/Understand Medical Terminology and Disease Process 3 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions
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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: $24.00/hr.