Position Title: LTSS Service Care Manager
Work Location: Member-Facing - Wake County
Assignment Duration: 6 Months Contract to Hire
Work Schedule: 8-5 Mon-Fri EST
NOTE FROM HM: "2.5-2.75 hr one way radius from home residence for face-to-face member visits... mileage and lodging (if needed) is reimbursed.

Position Summary:
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. Will 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.

Key Responsibilities:

• 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.
• 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 provider s 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.

Candidate Requirements
Education/Certification	Required: Bachelor’s			Preferred:
Licensure	Required: RN and/or LCSW/LCSW-A/BSN			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 and/or LCSW Physical hospital Health, Care Management, Utilization Mgt, Home Health – all and/or background
		2	Microsoft office
		3	Bedside care management

 
 
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: $ 36.00/hr.