LTSS Service Care Manager
- Full-time
Position Title : LTSS Service Care Manager
Work Location : RNs ONLY - Guilford County NC
Assignment Duration : 6 months with possible extension
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.
Background & Context
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 member with filing and resolving complaints and appeals.
Qualification & Experience
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
Education / Certification Required : Bachelor's
Licensure Required : RN
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 :
RN Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and / or background
Microsoft office
Bedside care management
Working Conditions & Physical Demands
80% travel.
Candidate Requirements
Education / Certification
Required : Bachelor's
Preferred : Licensure
Required : RN
Preferred : Licensure
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
RN
Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and / or background
Microsoft office
Bedside care management
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