Job Description
Work Location: Austin, TX
Assignment Duration: 3 months (Possibility to extend or convert?)
Work Schedule: Mon-Fri 8am-5pm
Work Arrangement: Remote
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.
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:
• Requires a Bachelor's degree and 2 – 4 years of related experience.
• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
| Education/Certification | Required: Bachelor’s degree | Preferred: Social Work, Health Services, Behavioral Science or related field, or equivalent experience. LVN also accepted | ||
| Licensure | Required: Driver’s license is required | Preferred: | ||
| Years of experience required: 2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions. Disqualifiers: Muat have the 2+ years to the candidate will not be considered. No or limited experience working with people with disabilities and vulnerable populations. Additional qualities to look for: Home Health/ nursing experience | ||||
| 1 | Person Centered Care Planning & Critical Thinking | ||
| 2 | Care coordination & system navigation | |||
| 3 | Strong documentation skills | |||
- 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/daily.