LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Remote - Charlotte NC Metro - Charlotte and Gastonia preferred

Assignment Duration: 05 Months (Potntial to extend)

Work Arrangement: Remote with 80% travel (2.5-3 hr radius from home)

Position Summary:

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

  
  

Key Responsibilities:

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  Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.

  
  
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  Member assessments and notes.

  
  
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  Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.

  
  
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  Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact.

  
  
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  Authorize and coordinate referral for services.

  
  
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  Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.

  
  
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  Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.

  
  
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  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.

  
  
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  Assist member with filing and resolving complaints and appeals.

  
  

Qualification & Experience:

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  Registered Nurse License and 2+ years of care management experience

  
  
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  Licensed Practical Nurse, and 4+ years of care management experience

  
  
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  OR 6+ years of care management experience

  
  
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  Valid driver's license

  
  
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  Experience with electronic medical health records

  
  
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  Microsoft Office

  
  
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  Preferred: Home health, long term care, discharge planning