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LTSS Service Care Manager
Spectraforce
Greensboro, North Carolina
Remote

2 hours ago

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

  • 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 member with filing and resolving complaints and appeals.


Qualification & Experience

  • Registered Nurse License and 2+ 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.

  • Licenses/Certifications: Valid driver's license

  • Education/Certification Required: Bachelor’s

  • Licensure Required: RN 

  • 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 background

    2. Microsoft office

    3. Bedside care management


Working Conditions & Physical Demands

  • 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 background
    2 Microsoft office
    3 Bedside care management
 
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: $ 40.00/hr.

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