LTSS Service Care Manager

Spectraforce Technologies; Fayetteville (NC); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated LTSS Service Care Manager to oversee healthcare members with long-term care needs. This role involves managing a caseload, conducting assessments, and ensuring seamless service delivery through in-person visits and telephonic contact. The ideal candidate will have a strong background in care management, with a valid RN or LCSW certification, and be proficient in Microsoft Office and electronic medical records. Join a forward-thinking organization that values collaboration and quality care, and make a meaningful impact in the lives of those you serve.

Qualifications

• Licensed Clinical Social Worker (LCSW) or Registered Nurse (RN) required.
• At least 2 years of care management experience preferred.

Responsibilities

• Manage a caseload of healthcare members with long-term care needs.
• Conduct monthly member contacts with 80% travel for in-person visits.
• Authorize and coordinate referrals for services.

Skills

Care Management

Utilization Management

Home Health

Physical Health Knowledge

Microsoft Office Proficiency

Education

Bachelor's Degree

LCSW or RN Certification

Tools

Electronic Medical Health Records

Microsoft Office

Job description

Title:

LTSS Service Care Manager

Location:

Remote - Fayetteville NC, Wilmington NC, Jacksonville NC, Goldsboro NC; residency preferred. Candidates should be within a 2.5-3 hour radius from their home for face-to-face member visits. Mileage and lodging (if needed) are reimbursed.

Duration:

6 Months (Potential to extend)

Shift:

8 AM - 5 PM

Job Description:

1. Manage a caseload of healthcare members with long-term care needs.
2. Conduct monthly and quarterly member contacts, including 80% travel for in-person visits. A valid driver's license is required.
3. Perform member assessments and document notes.
4. Complete assessments with members, caregivers, or providers to gather information for care plan development.
5. Monitor service delivery and follow up with members, caregivers, or providers through in-person visits and telephonic contact.
6. Authorize and coordinate referrals for services.
7. Ensure provider services are delivered without gaps and identify deficiencies in care plans.
8. Assist in developing informal or voluntary services to support the member’s care plan.
9. Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge and care plans, and coordinate acute and long-term care services.
10. Assist members with filing and resolving complaints and appeals.

Qualifications:

• Licensed Clinical Social Worker (LCSW) or Registered Nurse (RN) license.
• At least 2 years of care management experience; 4-6+ years preferred.
• Home health, discharge planning, or long-term care experience preferred.
• Valid driver's license.

Internal/External Interactions:

Collaborate with various healthcare providers, discharge planners, and care teams.

Required Skills and Experience:

• RN and/or LCSW certification.
• Knowledge in Physical Health, Care Management, Utilization Management, Home Health.

Preferred Skills and Experience:

• Over 2 years of care management experience.
• Experience with electronic medical health records.
• Proficiency in Microsoft Office.
• Experience with discharge planning.

Education:

Bachelor's degree required; additional education preferred.

Software Skills:

Microsoft Office, electronic medical health records.

Certifications and Testing:

Valid driver's license and LCSW or RN certification are required.