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LTSS Service Care Manager
Spectraforce
Mcallen, Texas

2 days ago

Job Description

Job Title: LTSS Service Care Manager
Assignment Duration: 12 months
Location: 
 Remote: McAllen - Rio Grande City area

Job Description:

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.

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, , 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
Candidate Requirements
Education/Certification Required Licensed Practical Nurse or Licensed Vocational Nurse Preferred:
Licensure Required: Licensed Practical Nurse or Licensed Vocational Nurse Preferred:
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
Must haves: Experience in completing assessments and case management preferred. Familiar with Outlook (Microsoft, Excel, Outlook emails)
 
Nice to haves: Previous MCO experience
 
Disqualifiers: Non-bilingual
 
Performance indicators:
  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
1 Time Management
2 Organization
3 Bilingual (English& Spanish)
 
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: $ 25.00/hr.

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