LTSS Service Care Manager

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