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Position Title: LTSS Service Care Manager (RN)
Work Location: Member-Facing - Charlotte - NC
Assignment Duration: 3 Months Contract to Hire
Work Schedule: Training 8-5 Mon-Fri EST - learning journey is 4 weeks - CAMERA ON - NO TIME OFF (please ensure the candidates are aware they can't miss training) Work schedule 8-5 Mon-Fri EST
NOTE FROM HM: "2.5-2.75 hr one way radius from home residence for face to face mbr visits... mileage and lodging (if needed) is reimbursed. Position Summary: 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. Key Responsibilities:
- 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.
Qualification & Experience:
| Candidate Requirements |
| Education/Certification |
Required: Requires a graduate from an Accredited School of Nursing or a Bachelor's degree and 2 - 4 years of related experience |
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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