Position Title: LTSS Service Care Manager
Assignment Duration: 6 months (possibility to extend)
Work Location: Wilmington and Jacksonville (Hybrid role)
Work Arrangement: Remote role with 80% travel
Position Summary:
• Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs.
• Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.

Key Responsibilities:
• Member assessments and notes.
• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
• Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact.
• Authorize and coordinate referral for services.
• Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
• Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.
• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
• Assist members with filing and resolving complaints and appeals.

Qualification & Experience:
• Licensed Clinical Social Worker (LCSW) or Registered Nurse (RN) License and 2+ years of physical health care management experience; 4–6+ years preferred.
• Hospital CM, Home health, discharge planning, or long-term care experience preferred.
• Valid driver’s license required.

Required Skills/Experience:
• RN and/or LCSW
• Physical Health, Care Management, Utilization Management, Home Health background

Preferred Skills/Experience:
• 2+ years of physical health Care Management experience
• Experience with electronic medical health records (EMR)
• Microsoft Office
• Long term care, Discharge planning

Education Requirement: Bachelor’s

Software Skills Required: Microsoft Office, Experience with electronic medical health records

Required Certifications: Valid driver’s license and LCSW/RN

Required Skills/Experience:			RN and/or LCSW Physical Health, Care Management, Utilization Mgt, Home Health – all and/or background	Preferred Skills/ Experience:
1.	2+ years of physical health Care Management experience			1.	Physical Health Long term care
2.	Experience with electronic medical health records			2.	Discharge planning
3.	Microsoft office			3.
Education Requirement:		Bachelor’s		Education Preferred:
Software Skills Required:		Microsoft office, Experience with electronic medical health records
Required Certifications:		Valid driver's license and LCSW/RN		Required Testing:

 
 
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: $ 37.00/hr.