LTSS Service Care Manager

Pyramid Consulting, Inc; McAllen (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a talented LTSS Service Care Manager for a contract position with long-term potential. This role involves coordinating holistic care management activities to ensure quality healthcare outcomes. The ideal candidate will have a strong background in home health and case management, with a focus on developing personalized service plans for long-term care members. Join a leading healthcare organization that values dedication and offers a supportive environment where your contributions can make a real difference in the lives of members and their families.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Sick Leave

Qualifications

• Requires a bachelor's degree and 2-4 years of related experience.
• Must have at least 2 years of experience as an LVN in home health.

Responsibilities

• Assist in developing and coordinating holistic care management activities.
• Monitor care plans and provide recommendations based on member needs.

Skills

Home Health

Case Management

LVN Experience

Telehealth

Documentation

Education

Bachelor's Degree

Licensed Vocational Nurse (LVN)

Tools

Microsoft Word

Microsoft Excel

Job description

Immediate need for a talented LTSS Service Care Manager. This is a 05+ months contract opportunity with long-term potential and is located in McAllen, Edinburg, Elsa in TX (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-67932

Pay Range: $22 - $26.50/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:

• Shift Time & Working Days: 8am-5pm with 1 hr lunch break, M-F, No Overtime Required
• 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.
• Assist in telehealth biannual assessments, in person as needed if in the area.
• Complete assigned tasks and document findings.
• Coordination with multi-disciplinary teams.
• Follow up calls to members.
• Any other projects that may arise.
• Must be able to meet strict turn-around times with documentation for assessments assigned.

Key Requirements and Technology Experience:

• Key Skills: Home Health
• Case Management
• 2+ Years as LVN
• Requires a bachelor’s degree and 2 – 4 years of related experience.
• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
• 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, specialists, 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 regulations.
• May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.
• 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.
• Complies with all policies and standards.
• Education/Certification Required: Licensed Vocational Nurse (LVN)
• Licensure Required: Licensed Vocational Nurse (LVN)
• Must haves: Microsoft Word, Excel experience, Computer literate
• At least 2 years’ experience at LVN, Home Health experience, Case management experience
• Disqualifiers: No vehicle, no internet
• Performance indicators: At least 2 years’ experience

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.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.