Remote LTSS Care Manager: Waiver & Care Coordination

Jobtome

Schaumburg Township (IL)

Remote

USD 38,000 - 74,000

Full time

12 days ago

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Job summary

Jobtome is seeking a field-based care coordination professional to support LTSS services and coordinate member care across the continuum. You will collaborate with a multidisciplinary team to ensure quality and cost-effective outcomes for high-need members.

Responsibilities include conducting timely assessments (including home visits), guiding waiver enrollment, developing care plans with input from members and caregivers, and monitoring progress while promoting service integration and resource

Qualifications

  • At least 2 years of experience in health care with care management or related fields.
  • Valid and unrestricted driver's license and reliable transportation.
  • Strong communication, time-management and ability to work independently.
  • Experience with substance use disorders, disabilities or LTSS preferred.

Responsibilities

  • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
  • Facilitates waiver enrollment and disenrollment processes.
  • Develops and implements care plans with member, caregivers and care team.
  • Monitors care plan effectiveness and documents interventions.
  • Promotes integration of behavioral health and LTSS across services.
  • Assesses medical necessity and authorizes waiver services.
  • Supports ICT meetings for approval/denial decisions.
  • Uses motivational interviewing and clinical guidelines to support change.
  • Identifies barriers to care and coordinates psycho/social, financial and medical support.
  • Travel up to 25-40% locally as required.

Skills

Communication skills
Time management
Detail-oriented
Independent worker
Proactive work style
Travel readiness

Education

Licensed Social Worker (LCSW/LMSW/APSW/CHES)
Licensed Counselor (LPC/LPCC/LMFT)
Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Jobtome is seeking a field-based care coordination professional to support LTSS services and coordinate member care across the continuum. You will collaborate with a multidisciplinary team to ensure quality and cost-effective outcomes for high-need members.

Responsibilities include conducting timely assessments (including home visits), guiding waiver enrollment, developing care plans with input from members and caregivers, and monitoring progress while promoting service integration and resource

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