Clinical LTSS Service Care Manager J01031

Job Title: LTSS Service Care Manager
Location: Rocky Mount Jacksonville/Wilmington NC

Assignment Duration: 6-month contract with potential for extension or conversion
Schedule: Monday Friday 8:00 AM 5:00 PM Fri EST learning journey is 4 weeks CAMERA ON NO TIME OFF

(Work Type: Field-based member-facing role with required home visits in local area
Travel Requirement: Yes - member home and site visits required

Job Summary

Additional staff needed due to business fluctuation

Virtual team meetings CAMERAS ON.

Key Responsibilities

Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs.

Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a drivers 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 provider s 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.

Required Qualifications

Licensure

RN License

Must Haves

2-4 years of physical health care management experience 4-6 years of physical health care management experience preferred. Hospital CM Home health discharge planning or long-term care experience preferred. Case management and care planning experience.

Nice to haves

Home health experience community health/member facing discharge planning

Disqualifiers: No Psych experience such as counseling (must have bedside case management hospital physical as well) no Right out of nursing school. No Nursing homes. No rehab.

Additional qualities to look for: Virtual All Microsoft office Experience with electronic medical health records