Clinical - LTSS Care Navigator LTSS Care Navigator

Mindlance; San Antonio (TX); On-site; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to enhance quality healthcare outcomes. In this role, you will assist in developing personalized care plans and coordinate between members, families, and healthcare providers. Your expertise will ensure that members receive the necessary resources and support for their long-term care needs. This position offers a unique opportunity to make a significant impact on the lives of individuals while working in a collaborative environment. If you're passionate about healthcare and want to contribute to meaningful change, this role is perfect for you.

Qualifications

• Requires a Bachelor's degree and 1 year of related experience.
• Experience in developing care plans and assessing member needs.

Responsibilities

• Evaluate member needs and develop care plans.
• Coordinate with providers and families for service accessibility.
• Educate members on services and benefits.

Skills

Care Management

Assessment Skills

Communication

Documentation

Education

Bachelor's Degree

Job description

Job Description: Position Purpose:
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 for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Education/Experience:
Requires a Bachelor's degree and 1 year of related experience or equivalent experience reflecting the duties and skills of this position.

Specific Requirements for Certain Populations:

• Iowa Plan Only: Bachelor's with 30 semester hours in a human services field and one year of relevant experience, or an Illinois-licensed RN with similar experience.
• Illinois Plan Only: For Physically Disabled/Elderly, candidate must meet one of three criteria: RN licensed in Illinois, a degree in a human services field, or LPN with one year of relevant experience. For Brain Injury/HIV/AIDS, criteria include RN with a degree or experience, licensed or unlicensed social workers with specified degrees, and experience working with specific populations.

Key Responsibilities:

• Evaluate member needs, resources, and develop or facilitate care plans.
• Identify providers, specialists, and community resources for long-term care.
• Coordinate between members, families, caregivers, and providers to ensure service accessibility.
• Provide resource support for various needs based on assessments.
• Monitor and update care plans, and interact with healthcare providers to meet member needs.
• Maintain documentation for compliance with regulations.
• Perform on-site assessments as needed.
• Educate members and families on procedures, services, and benefits.
• Provide feedback for quality improvement.
• Perform other duties as assigned and ensure policy compliance.