LTSS Service Care Manager

Position Title : LTSS Service Care Manager

Work Location : Source from Mission, Edinburg, McAllen, Elsa

Assignment Duration : 6 months

Work Schedule : 8am-5pm with 1 hr lunch break

Work Arrangement : Remote to specified Texas locations; member-facing / may require home or site visits as needed

Position Summary :

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

May 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 :

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

Complies with all policies and standards

Qualification & Experience :

Requires a Bachelor's degree and 2 - 4 years of related experience.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Education / Certification Required : Licensed Vocational Nurse (LVN)

Licensure Required : Licensed Vocational Nurse (LVN)

Must haves : Microsoft Word, Excel experience, Computer literate

Nice to haves : At least 2 years experience at LVN, Home Health experience, Case management experience

Disqualifiers : No vehicle, no internet

Performance indicators : Best vs. average : Strong time management skills, Organized

Top 3 must-have hard skills : 1) Bilingual preferred, 2) Organized, Strong time management skills, 3) At least 2 years' experience

Working Conditions & Physical Demands (If Applicable) :

May perform home and / or other site visits to assess member's needs and collaborate with healthcare providers and partners

Assist in telehealth biannual assessments, in person as needed if in the area