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LTSS Service Care Manager
Spectraforce
Pharr, Texas

2 days ago

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:

  • 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 home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners

  • 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

Qualification & Experience:

  • Licensure – Required: LPN, LVN, LSW, TX Driver License

  • Tools/Skills Required: Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed

  • Nice to Have: Field work experience with elderly and disabled population

  • Experience Required: 2+ years in managed care or working with people with disabilities/vulnerable populations who have chronic or complex conditions

  • 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
 

Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 


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.

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