LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Assignment Duration: 6 months (possibility to extend)

Work Location: Wilmington and Jacksonville (Hybrid role)

Work Arrangement: Remote role with 80% travel

Position Summary:

* 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.

Key Responsibilities:

* 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 providers 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 members with filing and resolving complaints and appeals.

Qualification & Experience:

* Licensed Clinical Social Worker (LCSW) or Registered Nurse (RN) License and 2+ years of physical health care management experience; 4-6+ years preferred.

* Hospital CM, Home health, discharge planning, or long-term care experience preferred.

* Valid driver's license required.

Required Skills/Experience:

* RN and/or LCSW

* Physical Health, Care Management, Utilization Management, Home Health background

Preferred Skills/Experience:

* 2+ years of physical health Care Management experience

* Experience with electronic medical health records (EMR)

* Microsoft Office

* Long term care, Discharge planning

Education Requirement: Bachelor's

Software Skills Required: Microsoft Office, Experience with electronic medical health records

Required Certifications: Valid driver's license and LCSW/RN