LTSS Care Navigator

Spectraforce Technologies; San Antonio (TX); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated LTSS Care Navigator to enhance quality healthcare outcomes. This role involves developing personalized care plans, coordinating with healthcare providers, and supporting long-term care members and their families. You will play a crucial part in ensuring that members receive the necessary resources and education to navigate their healthcare needs effectively. If you are passionate about making a positive impact in the lives of others and possess strong customer service skills, this opportunity is perfect for you. Join a forward-thinking team that values compassion and dedication in delivering exceptional care.

Qualifications

• Experience in customer service and care management.
• Ability to develop and coordinate care plans effectively.

Responsibilities

• Evaluate member needs and coordinate care plans for optimal outcomes.
• Provide resource support for members and their families.

Skills

Customer Service Skills

Computer Skills

Attention to Detail

Telephonic Work

Bilingual

Education

High School Diploma

Bachelor's Degree

Job description

Job Title: LTSS Care Navigator

Job Duration: 3 Months (Contract to Hire)

Job Location: Source from San Antonio, TX (Remote)



Description:

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/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.



Responsibilities:

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome


• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care


• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members


• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans


• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs


• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met


• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators


• May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate


• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits


• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner


• Performs other duties as assigned


• Complies with all policies and standards

Must haves:

excellent customer service skills, strong computer skills, attention to detail, telephonic work, reliable internet connection

Nice to haves: bilingual

Disqualifiers: no experience working with Medicaid and special health care needs

Candidate Requirements
Required: HS Diploma	Preferred: Bachelor
Required: n/a	Preferred: n/a