Position Title: LTSS Service Care Manager
Work Location: Pharr, TX
Assignment Duration: 3 months Contract to Hire
Work Arrangement: Field-based with home/site visits Position Summary:
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:
Licensure - Required: LPN, LVN, LSW, TX Driver License
Tools/Skills Required: Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed
Nice to Have: Field work experience with elderly and disabled population
Experience Required: 2+ years in managed care or working with people with disabilities/vulnerable populations who have chronic or complex conditions
Language Requirement: Must be bilingual in English and Spanish
Candidate Requirements |
Education/Certification |
Required: |
Preferred: |
Licensure |
Required: LPN, LVN, LSW, TX Driver License |
Preferred: |
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
|
Must haves:
Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed
Nice to haves: Field Work experience with the elderly and disabled population
Disqualifiers:
Performance indicators:
|
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
|
1 |
Speak/Write English & Spanish |
2 |
Know/Understand Medical Terminology and Disease Process |
3 |
2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions |
|