Position Title: LTSS Service Care Manager
Work Location: Please source applicants from Austin TX, this is a field based remote position.
Assignment Duration: 3 months (Possibility to extend or convert)
Work Schedule: Mon-Fri 8am-5pm
Work Arrangement: 3 days of visits and 2 days remote
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
- CM will complete in home member assessments in the Austin area.
- SC will have 3 days of visits and 2 days of documentation weekly
- SC will have a caseload and work assigned tasks
- SC will complete H2060 assessment
- SC will fill put required forms for each assessment
- SC will make follow up calls
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
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.
| Education/Certification |
Required: Bachelor's degree |
Preferred: Social Work, Health Services, Behavioral Science or related field, or equivalent experience. LVN also accepted |
| Licensure |
Required: Driver's license is required |
Preferred: |
Years of experience required:
2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions.
Disqualifiers: Muat have the 2+ years to the candidate will not be considered.
No or limited experience working with people with disabilities and vulnerable populations.
Additional qualities to look for: Home Health/ nursing experience |
- Top 3 must-have hard skills stack-ranked by importance
|
1 |
Person Centered Care Planning & Critical Thinking |
| 2 |
Care coordination & system navigation |
| 3 |
Strong documentation skills |
|