Crystal City, TX Clinical - LTSS Service Care Manager - J01031

Axelon Services Corporation; Crystal City (TX); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Mileage reimbursement for member visits

Job summary

A healthcare staffing company in Crystal City, TX is seeking a Clinical Service Care Manager. The role involves traveling to members’ homes for assessments, providing education on healthcare services, and maintaining accurate documentation. Ideal candidates will have care management experience and the ability to work in fast-paced environments. This position offers a contract employment type with a mid-senior level responsibility.

Qualifications

• 5+ years of experience working with aged, blind, or disabled populations.
• LVN/LPN or Care Management qualifications.
• Experience in healthcare settings preferred.

Responsibilities

• Travel for member visits and work remotely for documentation.
• Assess members for service eligibility and document findings.
• Act as a liaison and advocate for members.

Skills

Care Management experience

Bilingual

Tech-savvy (MS Excel, MS Teams, MS Office Suite)

Fast-paced environment adaptability

Education

Bachelor’s degree or equivalent experience

Job description

Overview

Crystal City, TX Clinical - LTSS Service Care Manager - J01031

Location: Crystal City, Texas. Travel within the Uvalde TX and surrounding areas 3 days a week, days WFH. Shift: 8am-5pm Mon-Fri; overtime may be required. Duration: Temp to Perm. Case load: up to 3 cases per day.

Responsibilities

• LTSS service care manager will travel 3 days for member visits in their home and work remotely 2 days for documentation of assessments and follow-up tasks.
• Assess the member for approval or denial of personal attendant services to assist with activities of daily living by completing a H2060 form in the field.
• Fill out required assessments and all forms, document assessments, and submit for authorization or denial of services within a 3 business day turnaround.
• Evaluate the needs of the most complex and high-risk members and recommend a plan of care for the best outcome.
• Act as liaison and member advocate between the member/family, physician, and facilities/agencies.
• Provide and/or facilitate education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication regimens, and healthcare benefits.
• Educate on and coordinate community resources, including medical and social services.
• Coordinate service authorization for various services based on service assessments and plans (e.g., meals, employment, housing, transportation, activities of daily living).
• Ensure appropriate referrals based on individual member needs and support the identification of providers, specialists, and community resources.
• Ensure identified services are accessible to members.
• Maintain accurate documentation and support the integrity of care management activities in the electronic care management system.
• Work to ensure compliance with clinical guidelines and current state and federal guidelines.
• Provide feedback to leadership on opportunities to improve quality of care and service delivery for long-term care members in a cost-effective manner. Perform other duties as assigned. Comply with all policies and standards.

Metrics

• Must meet quality standards of assessments at 92% or above.
• Documentation must be completed for assessments within 3 business days.
• Required travel of 75%.
• Mileage reimbursement provided for member-facing visits.

Qualifications/Requirements

• LVN/LPN or Care Management experience.
• Experience working with aged, blind, or disabled populations (5+ years).
• Bilingual strongly preferred (not required).
• Tech-savvy (MS Excel, MS Teams, MS Office Suite).
• Ability to work in fast-paced environments.
• Preferred: Social Work, LVN, or Medical background with at least a bachelor’s degree or 2–4 years of related equivalent experience.

Job Details

• Seniority level: Mid-Senior level
• Employment type: Contract
• Job function: Health Care Provider
• Industries: Hospitals and Health Care

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