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LTSS Service Care Manager
Spectraforce
Corpus Christi, Texas

14 days ago

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:

  • 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

  • Complies with all policies and standards

Qualification & Experience:

  • 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
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
Must haves:
 
Nice to haves: Service Coordination, Case Management or Nursing experience preferred.
 
Disqualifiers:
 
Performance indicators:
  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
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

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: $ 23.00/hr.

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