LTSS Service Care Manager - J01031

Spectraforce Technologies; Rocky Mount (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare management company in North Carolina is seeking an LTSS Service Care Manager to manage a case load for healthcare members with long-term care needs. This position requires extensive travel and a valid driver's license. Ideal candidates will have at least 2 years of care management experience and will hold a LCSW or RN license. The role emphasizes collaboration with caregivers and providers to ensure quality care plans.

Qualifications

• Licensed Clinical Social Worker/Registered Nurse License required.
• 2+ years of care management experience; 4-6+ years preferred.
• Home health, discharge planning, or long-term care experience preferred.

Responsibilities

• Manage a case load for healthcare members with long-term care needs.
• Conduct monthly and quarterly member contact including 80% travel.
• Complete assessments with members, caregivers, or providers.
• Monitor delivery of services through in-person visits.
• Authorize and coordinate referrals for services.

Skills

RN and/or LCSW

Physical Health

Care Management

Utilization Management

Home Health

Experience with electronic medical health records

Microsoft Office

Education

Bachelor's degree

Tools

Microsoft Office

Electronic medical health records

Job description

Position Title: LTSS Service Care Manager

Work Location: Member-facing- Rocky Mount-1 needed. Wake Co - 1 needed, Wilmington and Jacksonville, NC- 1 more needed, Wayne Co/Goldsboro, NC-1 needed

Assignment Duration: 6 months (with potential to extend/convert)

Work Schedule: 8-5 Mon-Fri EST

NOTE FROM HM: 2.5-3 hr radius from home residence for face-to-face mbr visits... mileage and lodging (if needed) is reimbursed.

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.
• Licensed Clinical Social Worker/Registered Nurse License and 2+ years of care management experience, 4-6+ years of care management experience preferred. Home health, discharge planning, or long-term care experience preferred. Licenses/Certifications: Valid driver's license

Required Skills/Experience:

• RN and/or LCSW
• Physical Health, Care Management, Utilization Mgt, Home Health - all and/or background
• 2+ years of Care Management experience
• Experience with electronic medical health records
• Microsoft office

Preferred Skills/ Experience:

• Long term care
• Discharge planning

Education Requirement:

Bachelor's

Software Skills Required:

Microsoft office, Experience with electronic medical health records

Required Certifications:

Valid driver's license and LCSW/RN