LTSS Service Care Manager

Day-to-Day Responsibilities of this Position and Description of Project:

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  Managing a case load for healthcare members with long term care needs.

  
  
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  Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.

  
  
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  Member assessments and notes.

  
  
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  Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.

  
  
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  Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact.

  
  
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  Authorize and coordinate referral for services.

  
  
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  Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.

  
  
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  Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.

  
  
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  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!

  
  
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  Assist member with filing and resolving complaints and appeals.

  
  

Internal/External Groups with which the Candidate will interface:

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  Not specified in the job description.

  
  

Required Skills/Experience:

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  2+ years of Care Management experience.

  
  
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  Experience with electronic medical health records.

  
  
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  Bilingual (Spanish).

  
  
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  Microsoft Office.

  
  

Preferred Skills/Experience:

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  Home health.

  
  
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  Long term care.

  
  
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  Discharge planning.

  
  
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  Microsoft Office.

  
  

Education Requirement:

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

  
  

Education Preferred:

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  Not specified in the job description.

  
  

Software Skills Required:

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  Microsoft Office, Experience with electronic medical health records.

  
  

Required Certifications:

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  Valid driver's license.

  
  

Required Testing:

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  Not specified in the job description.

  
  

Position is offered by a no fee agency.