LTSS Service Care Manager

Summary:

• Duration: 5 months contract with possible conversion but no guarantee
• Work Mode: Remote
• Location: Durham & Wake counties, NC - Region 4, EST zone
• Shift: 8am-5pm EST, Monday – Friday

Responsibilities:

• Develop, assess, and coordinate holistic care management activities to support quality, cost-effective healthcare outcomes.
• Create or support personalized service plans for long-term care members.
• Educate members, families, and caregivers about available services and benefits.
• Evaluate the needs of the member and recommend or facilitate the best outcome plan.
• Assist in developing ongoing long-term care plans/service plans and identify necessary providers and resources.
• Coordinate between members, families, caregivers, and the care provider team to ensure service accessibility.
• Provide resource support for various needs based on service assessment and plans.
• Monitor care plans/service plans and provide recommendations based on member needs.
• Interact with healthcare providers and partners to ensure member needs are met.
• Collect, document, and maintain member information and care management activities for compliance.
• Perform home or site visits to assess member needs and collaborate with healthcare providers.
• Provide education on procedures, healthcare provider instructions, service options, referrals, and benefits.
• Offer feedback to leadership to improve quality of care and service delivery.

Requirements:

• Requires a Bachelor's degree and minimum 2 years of related experience.
• Licensure: RN or LCSW required.
• Minimum 2 years of in-home experience.
• Experience in LTSS and/or HCBS coordination, care delivery monitoring, and care management.
• Experience in social work, geriatrics, gerontology, pediatrics, or human services.
• Reliable access to own transportation.

Preferred Skills:

• Prior managed care experience.
• Ability to work autonomously.
• Strong clinical documentation and computer skills.