Job Details

Position Title: LTSS Service Care Manager

Must haves: 2+ years of experience with case management

Education/Certification Required: Requires a bachelor's degree

Licensure Required: Driver's licensure required

Nice to haves: experience with working with the geriatric population or any population which is medically needy. Spanish speaking preferred.

Top skills:

• 2+ years of Care Management experience
• Long term care
• Experience with electronic medical health records Bilingual (Spanish) Microsoft office

Software Skills Required: Microsoft office, Experience with electronic medical health records

Day-to-Day Responsibilities:

• Managing a case load for healthcare members with long term care 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.