LTSS Care Navigator

Spectraforce Technologies; Houston (TX); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading company is seeking an LTSS Care Navigator to develop and coordinate care management activities for members. This role involves creating personalized care plans and educating members on available services to enhance healthcare access. Ideal candidates will have experience in managed care and a relevant license.

Qualifications

• 2+ years experience in managed care or with vulnerable populations.
• Experience developing personalized care plans.

Responsibilities

• Coordinate care management activities based on member needs.
• Educate members and families on services and benefits.

Skills

Managed Care

Advocacy

Care Coordination

Education

High School/GED

Bachelor's degree in Social Work

Job description

Title: LTSS Care Navigator

Location: Remote TX

Duration: 6 Months

Position Purpose:

Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve healthcare access and receive appropriate high-quality care through advocacy and care coordination.

Candidate Requirements

Education/Certification

• Required: High School/GED
• Preferred: Bachelor's degree in Social Work or related field

Licensure

• Required: LPN, LVN, or LCSW preferred. License is the most important.
• Preferred:

Experience & Additional Requirements

• 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations with chronic or complex conditions.
• Other state-specific requirements may apply.

Hard Skills

• Top 3 must-have hard skills ranked by importance:
• 1. Experience in managed care or with vulnerable populations (2+ years)