LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Delaware - 1 Kent County

Assignment Duration: 6 months (possible to extend or convert)

Work Schedule: 8 am - 5 pm EST Mon - Fri

Work Arrangement: Field worker (member-facing)

Position Summary: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalised service care plans/service plans for long-term care members and educate members and their families/caregivers on services and benefits available to meet member needs.

Background & Context: Support the case management team in The Organisation due to a high increase in membership. Focus on LTSS level of care redeterminations, transition of care, and supporting other LTSS case managers.

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