LTSS Service Care Manager

MedStar Health; Raleigh (NC); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization seeks an LTSS Service Care Manager to develop and coordinate care activities for members in this remote role. The ideal candidate will enhance healthcare outcomes through effective member support, education, and resource management, ensuring quality and cost-effective care.

Qualifications

• Requires a Bachelor's degree and 2 - 4 years of related experience.
• Spanish speaking preferred.

Responsibilities

• Evaluates member needs and recommends plans for care.
• Coordinates services between members and providers.
• Monitors care plans and outcomes.

Skills

Care Management

Assessment

Coordination

Education

Resource Support

Education

Bachelor's degree

Job description

Position Title: LTSS Service Care Manager

Work Location: Region 8, Sarasota County

Assignment Duration: 6 Months

Work Arrangement: Remote (Member Facing)

Spanish speaking preferred

Position Summary:

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Background & Context:

• 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.

Position Title: LTSS Service Care Manager

Work Location: Region 8, Sarasota County

Assignment Duration: 6 Months

Work Arrangement: Remote (Member Facing)

Spanish speaking preferred

Position Summary:

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Background & Context:

• 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.

Key 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 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.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualification & Experience:

• Requires a Bachelor's degree and 2 - 4 years of related experience

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