LTSS Service Care Manager

Summary:

• Location: Cumberland County, NC
• Duration: 6 months, possible to extend
• Work Mode: Remote 1-2 admin days a week, in-person visits 3-4 days a week
• Training: 8-5 Mon-Fri EST, 3.5 weeks, camera on, no time off
• Work Schedule: 8-5 Mon-Fri EST

Responsibilities:

• Manage a caseload for healthcare members with LTSS (Long Term Support/Services) needs
• Conduct monthly and quarterly member contact, including 80% travel
• Perform member assessments and document notes
• Complete assessments with members, caregivers, or providers for care plan development
• Monitor service delivery and follow up with members, caregivers, or providers
• Authorize and coordinate referrals for services
• Ensure provider services are delivered without gaps and identify deficiencies in care plans
• Collaborate with discharge planners, physicians, and other parties for care coordination
• Assist members with filing and resolving complaints and appeals

Requirements:

• Licensed Clinical Social Worker/Registered Nurse License
• Valid driver's license
• Minimum 2 years of physical health care management experience
• Experience in hospital case management, home health, discharge planning, or long-term care preferred
• Proficiency in Microsoft Office and electronic medical health records

Preferred Skills:

• Home health experience
• Community health/member-facing experience
• Discharge planning