Job Description
Position Title: LTSS Service Care Manager
Work Location: Member-facing - Delaware – 3 New Castle County - 2 Kent County -1 Sussex County
Assignment Duration: 6 months
Work Schedule: 8 am – 5 pm EST Mon – Fri
Position Summary: 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.
Background & Context: Support the case management team due to high increase in membership.
Key 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, specialist, 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
Qualification & Experience:
| Candidate Requirements | ||||
| Education/Certification | Required: Bachelor's degree and 2 – 4 years of related experience. | Preferred: | ||
| Licensure | Required: Delaware/Compact RN License, Driver’s license | Preferred: | ||
| Must haves: Driver’s license, Home workspace Nice to haves: Case Management Experience, Service Care Manager Disqualifiers: Location should be within Delaware Performance indicators: 4-5 assessments per week, for redeterminations 4-5 daily | |||
| 1 | Computer literate | ||
| 2 | Experience on evaluating older adults/disabled level of functioning | |||
| 3 | Experience with medication reconciliation | |||
- 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: $ 33.00/hr.