LTSS Service Care Manager

Key Responsibilities:

* Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome

* Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care

* Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members

* Provides resource support to members and their families/caregivers for various needs (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans

* Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs

* Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met

* Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

* May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners

* Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits

* Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner

* Performs other duties as assigned

* Complies with all policies and standards

Typical Day in the Role

* Assist in telehealth biannual assessments, in person as needed if in the area

* Complete assigned tasks and document findings

* Coordination with multi-disciplinary teams

* Follow up calls to members

* Any other projects that may arise

* Must be able to meet strict turn-around times with documentation for assessments assigned

Qualification & Experience:

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

* Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

Candidate Requirements

* Required Education/License: Licensed Vocational Nurse (LVN)

* Must haves: Microsoft Word, Excel experience, Computer literate

* Nice to haves: At least 2 years' LVN experience, Home Health experience, Case Management

* Disqualifiers: No vehicle, no internet

* Soft Skills: Organized, Strong time management skills

* Preferred: Bilingual