Position Title: LTSS Service Care Manager
Work Location: Edinburg, TX
Assignment Duration: 3 months contract to hire
Work Arrangement: Member-facing

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

Candidate Requirements

• Education/Certification: Required: Bachelor’s degree and 2 – 4 years of related experience. Preferred: LPN, LVN, LSW, TX Driver License

• 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

• Top 3 Must-Have Hard Skills:

  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
      

     Candidate Requirements
     Education/Certification	Required: Bachelor's degree and 2 – 4 years of related experience.			Preferred:
     Licensure	Required:			Preferred: LPN, LVN, LSW, TX Driver License
     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
     Candidate Review & Selection
     Shortlisting process Second touchpoint for feedback Interview Information Onboard Process and Expectations		Projected HM Candidate Review Date:			1-2 days post-shortlisting
     		Number and Type of Interviews:			1, Teams, Camera On
     		Required Testing or Assessment (by Vendor):

 
 
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.