Position Title: LTSS Service Care Manager

Work Location: NC – Winston Salem Region Only

Assignment Duration: 6 months

Work Arrangement: Remote

---

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. Remote role. Will require a driver’s license. Member assessments and notes.

---

Key Responsibilities:

• 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:

• Licensed Clinical Social Worker/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.

• Home health experience

• Virtual

• All Microsoft office

• Experience with electronic medical health records
  
   

  Candidate Requirements
  Required: Bachelor’s			Preferred:
  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

 
 
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: $ 39.00/daily.