Job Description
Position Title: LTSS Service Care Manager
Work Location: Member-facing - Corpus Christi, TX
Assignment Duration: 3 months
Work Schedule: Mon-Fri 8 am-5 pm
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:
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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
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Complies with all policies and standards
Qualification & Experience:
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Requires a Bachelor's degree and 2 – 4 years of related experience.
- Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Candidate Requirements | ||||
Education/Certification | Required: Bachelor’s degree in Social Work, Health Services, Behavioral Science or related field, or equivalent experience. LVN all accepted | Preferred: | ||
Licensure | Required: DL | Preferred: LVN, Social Worker | ||
| Must haves: Nice to haves: Service Coordination, Case Management or Nursing experience preferred. Disqualifiers: Performance indicators: | |||
| 1 | 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions. | ||
2 | Technology and computer skills: TEAMS, office, excel, powerpoint, cellphone | |||
3 | Flexibility to travel 75% of time |
- 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: $ 23.00/hr.