Job Description
Position Title: LTSS Service Care Manager
Work Location: Member-Facing Source from Edinburg, McAllen, Elsa
Assignment Duration: 6 months
Work Schedule: 8 am–5 pm with 1 hr lunch break
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
Typical Day in the Role
• Assist in telehealth biannual assessments, in person as needed if in the area
• Complete assigned tasks and document findings
• Coordination with multi-disciplinary teams
• Follow up calls to members
• Any other projects that may arise
• Must be able to meet strict turn-around times with documentation for assessments assigned
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
Candidate Requirements
• Required Education/License: Licensed Vocational Nurse (LVN)
• Must haves: Microsoft Word, Excel experience, Computer literate
• Nice to haves: At least 2 years’ LVN experience, Home Health experience, Case Management
• Disqualifiers: No vehicle, no internet
• Soft Skills: Organized, Strong time management skills
• Preferred: Bilingual
| Candidate Requirements | |||
| Education/Certification | Required: Licensed Vocational Nurse (LVN) | Preferred: | |
| Licensure | Required: Licensed Vocational Nurse (LVN) | Preferred: | |
| Must haves: Microsoft Word, Excel experience, Computer literate Nice to haves: At lease 2 years experience at LVN, Home Health experience, Case management experience | ||
- 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: $23.00/hr.