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Position Title:LTSS Service Care Manager Work Location: RNs ONLY - Guilford County NC Assignment Duration: 6 months potential to extend
| Job Description |
Position Purpose:
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. Will develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
Member facing but potentially provider facing
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| Story Behind the Need |
- What is the purpose of this team?
- Describe the surrounding team (team culture, work environment, etc.) & key projects.
- Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
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Additional staff needed due to business fluctuation
Virtual team meetings - CAMERAS ON |
| Typical Day in the Role |
- Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
- What are performance expectations/metrics?
- What makes this role unique?
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Day to Day Responsibilities of this Position and Description of Project:
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 driver's 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.
Licensed Clinical Social Worker/Registered Nurse License and 2+ 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. Licenses/Certifications: Valid driver's license |
| Candidate Requirements |
| Education/Certification |
Required: Bachelor's |
Preferred: |
| Licensure |
Required: RN |
Preferred: |
Years of experience required: 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.
Home health experience
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 |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
RN
Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background |
| 2 |
Microsoft office |
| 3 |
Bedside care management |
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