Job Description
Position Title: LTSS Service Care Manager
Work Location: RNs ONLY – Guilford County NC
Assignment Duration: 6 months with possible extension
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.
Background & Context
Remote role. Will require a driver’s license.
Key Responsibilities
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Member assessments and notes.
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Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
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Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact
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Authorize and coordinate referral for services.
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Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
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Assist in coordinating the development of informal or voluntary services to integrate into the member care plan
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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!
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Assist member with filing and resolving complaints and appeals.
Qualification & Experience
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Registered Nurse License and 2+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred.
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Hospital CM, Home health, discharge planning, or long-term care experience preferred.
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Licenses/Certifications: Valid driver's license
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Education/Certification Required: Bachelor’s
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Licensure Required: RN
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Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred. Hospital CM, Home health, discharge planning, or long-term care experience preferred.
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Home health experience
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Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.
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Additional qualities to look for: Virtual, All Microsoft office, Experience with electronic medical health records
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Top 3 must-have hard skills stack-ranked by importance:
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RN Physical hospital Health, Care Management, Utilization Mgt, Home Health – all and/or background
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Microsoft office
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Bedside care management
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Working Conditions & Physical Demands
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80% travel.
Candidate Requirements Education/Certification Required: Bachelor’s Preferred: Licensure Required: RN Preferred: Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred. Hospital CM, Home health, discharge planning, or long-term care experience preferred.
Home health experience
Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.
Additional qualities to look for: Virtual, All Microsoft office, Experience with electronic medical health records- Top 3 must-have hard skills stack-ranked by importance
1 RN
Physical hospital Health, Care Management, Utilization Mgt, Home Health – all and/or background2 Microsoft office 3 Bedside care management
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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: $ 40.00/hr.