LTSS Service Care Manager

The LTSS Service Care Manager is responsible for coordinating and managing comprehensive care for members with long-term services and support (LTSS) needs. This role focuses on developing individualized care plans, ensuring service delivery, and improving overall health outcomes through collaboration with members, caregivers, and healthcare providers.

• Manage a caseload of members requiring long-term care services and support
• Conduct comprehensive assessments to evaluate member needs, support systems, and eligibility for services
• Develop and implement individualized service care plans in collaboration with members, caregivers, and providers
• Coordinate and authorize referrals for healthcare and community-based services
• Monitor service delivery to ensure care plans are executed effectively and without gaps
• Perform regular member outreach, including monthly and quarterly check-ins (in-person and telephonic)
• Conduct in-home or community visits (up to 80% travel required)
• Collaborate with healthcare providers, discharge planners, and interdisciplinary teams to ensure continuity of care
• Assist members with navigating benefits, services, and resolving complaints or appeals
• Maintain accurate and timely documentation, including assessments and care management notes
• Identify opportunities to improve care plans and address deficiencies in service delivery

• Monday–Friday, 8:00 AM – 5:00 PM (EST)
• Combination of remote work and field-based visits
  • 1–2 days remote (administrative work)
  • 3–4 days in the field conducting member visits
• Travel required within a regional radius; mileage and lodging reimbursed when applicable
• Occasional in-person team meetings or trainings (quarterly)
• Initial training period (4 weeks): full attendance required, camera-on virtual sessions

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  Required Qualifications
  
  • Bachelor’s degree required
  • Active and unrestricted license in one of the following:
    • Registered Nurse (RN)
    • Licensed Clinical Social Worker (LCSW or LCSW-A)
  • Valid driver’s license
  • 2–4+ years of healthcare case management experience
  • Experience in physical health settings such as:
    • Hospital case management
    • Home health
    • Discharge planning
    • Long-term care

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  Preferred Qualifications
  
  • 4–6+ years of healthcare case management experience
  • Experience in member-facing or community-based care
  • Strong background in care planning and utilization management
  • Familiarity with electronic medical records (EMR/EHR) systems
  • Proficiency in Microsoft Office Suite

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  Required Skills & Competencies
  
  • Strong care coordination and case management skills
  • Ability to work independently in a remote and field-based environment
  • Excellent communication and interpersonal skills
  • Strong organizational and documentation abilities
  • Tech-savvy with the ability to navigate multiple systems
  • Critical thinking and problem-solving skills

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  Additional Requirements
  
  • Ability to travel extensively (up to 80% of the time)
  • Must be comfortable with in-person member interactions
  • Must be authorized to work in the United States without sponsorship

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  Assignment Details
  
  • Contract duration: Approximately 6 months
  • Potential for extension or conversion to full-time