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A leading healthcare company seeks an LTSS Service Care Manager to manage the care of members with long-term needs. The role involves member assessments, coordination of services, and requires a Bachelor's degree along with 2+ years of care management experience. This position promises a challenging yet rewarding environment focused on patient care and service delivery.
Day-to-Day Responsibilities of this Position and Description of Project:
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.
Internal/External Groups with which the Candidate will interface:
Not specified in the job description.
Required Skills/Experience:
2+ years of Care Management experience.
Experience with electronic medical health records.
Bilingual (Spanish).
Microsoft Office.
Preferred Skills/Experience:
Home health.
Long term care.
Discharge planning.
Microsoft Office.
Education Requirement:
Requires a Bachelor's degree and 2 - 4 years of related experience.
Education Preferred:
Not specified in the job description.
Software Skills Required:
Microsoft Office, Experience with electronic medical health records.
Required Certifications:
Valid driver's license.
Required Testing:
Not specified in the job description.
Position is offered by a no fee agency.