Clinical - LTSS Service Care Manager

Spectraforce Technologies, Inc.; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Spectraforce Technologies, Inc. seeks a LTSS Service Care Manager to coordinate holistic care management for long-term care members across Pitt, Halifax, Northampton, Hertford, Warren, and Washington counties.

The role requires RN or LCSW licensure and a Bachelor's degree, with 2–4+ years in health care management; hospital CM or discharge planning experience preferred. 6-month contract with 8–5 EST training and no time off during training.

Qualifications

• Bachelor's degree required with RN or LCSW licensure highly preferred.
• 2–4+ years in physical health care management; hospital CM or discharge planning experience preferred.
• Experience with long-term care services and member education is essential.

Responsibilities

• Develop, assess, and coordinate holistic care management activities for quality, cost-effective outcomes.
• Create or assist with personalized service plans for long-term care members and educate families.
• Educate members and caregivers on services and benefits available to meet needs.

Skills

Care Management

Utilization Management

Home Health

Microsoft Office

Education

Bachelor's degree

RN or LCSW licensure

Tools

EMR/EHR

Microsoft Office

Job description

Title: LTSS Service Care Manager

Location: Source from Pitt, Halifax, Northampton, Hertford, Warren, Washington counties

NOTE FROM HM: Up to 2.5hr one way radius from home residence for face to face mbr visits... mileage and lodging (if needed) is reimbursed.

Duration: 6 months potential to extend or convert

Shift: Training 8-5 Mon-Fri EST - learning journey is 3.5 weeks - CAMERA ON - NO TIME OFF (please ensure the candidates are aware they can't miss training)

Work schedule: 8-5 Mon-Fri EST

Responsibilities

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. Will develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Education / Certification

• Required: Bachelor's
• Preferred:

Licensure

• Required: RN and/or LCSW/LCSW-A/BSN/ADN
• Preferred:

Years of experience required

• Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred. Hospital CM, Home health, discharge planning, or long-term care experience preferred. Case management and care planning experience.

Preferred

• Preferred - Home health experience, community health/member facing, discharge planning

Disqualifiers

• Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.

Additional qualities to look for

• Virtual, All Microsoft office, Experience with electronic medical health records

Top 3 must-have hard skills stack-ranked by importance

• Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background
• Microsoft office - Tech savvy
• Bedside care management