LTSS Service Care Manager

Pyramid Consulting, Inc; Fayetteville (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Clinical LTSS Service Care Manager for a remote role based in Fayetteville, NC. This position offers an exciting opportunity to manage healthcare members with long-term care needs and coordinate their care plans effectively. With a focus on collaboration with healthcare providers and ensuring seamless service delivery, you will play a crucial role in improving patient outcomes. Ideal candidates will have a background in social work or nursing, along with experience in care management. Join a forward-thinking organization that values your expertise and offers a supportive environment for professional growth.

Benefits

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave

Qualifications

• 2+ years of Care Management experience required.
• Valid driver's license and LCSW/RN certifications needed.

Responsibilities

• Managing a case load for healthcare members with long term care needs.
• Conducting member assessments and coordinating services.

Skills

Licensed Clinical Social Worker

LCSW

Registered Nurse

Care Management

Utilization Management

Home Health

Electronic Medical Records

Microsoft Office

Education

Bachelor's Degree

Tools

Microsoft Office

Electronic Medical Records

Job description

Immediate need for a talented Clinical - LTSS Service Care Manager. This is a 06+ Months Contract opportunity with long-term potential and is located in Fayetteville, NC (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-67347

Pay Range: $37 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Managing a case load for healthcare members with long term care needs.
• Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.
• Member assessments and notes.
• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
• Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact.
• Authorize and coordinate referral for services.
• Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
• Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.
• Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
• Assist member with filing and resolving complaints and appeals.

Key Requirements and Technology Experience:

• Skills - Licensed Clinical Social Worker, LCSW, LTSS, Registered Nurse.
• RN and/or LCSW.
• Physical Health, Care Management, Utilization Management, Home Health – all and/or background.
• 2+ years of Care Management experience.
• Experience with electronic medical health records.
• Microsoft Office.
• Education Requirement: Bachelor’s.
• Software Skills Required: Microsoft Office, Experience with electronic medical health records.
• Required Certifications: Valid driver's license and LCSW/RN.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.