LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Edinburg, TX

Assignment Duration: 3 months contract to hire

Work Arrangement: Member-facing

Position Summary

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  Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome

  
  
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  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

  
  
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  Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members

  
  
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  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

  
  
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  Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs

  
  
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  Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met

  
  
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  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

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

  
  
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  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

  
  
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  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

  
  

Candidate Requirements

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  Education/Certification: Required: Bachelor's degree and 2 - 4 years of related experience. Preferred: LPN, LVN, LSW, TX Driver License

  
  
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  Must Haves: Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed

  
  
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  Nice to Haves: Field Work experience with the elderly and disabled population

  
  
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  Top 3 Must-Have Hard Skills:

  
  
  
  
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     Speak/Write English & Spanish

     
     
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     Know/Understand Medical Terminology and Disease Process

     
     
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     2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions

     
     
     
     
     
     
     
     
     
     
     

     Candidate Requirements
     Education/Certification	Required: Bachelor's degree and 2 - 4 years of related experience.	Preferred:
     Licensure	Required:	Preferred: LPN, LVN, LSW, TX Driver License
     Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: Microsoft Outlook, Teams, Excel, Word, Adobe, minimum of 50 wpm typing speed Nice to haves: Field Work experience with the elderly and disabled population Disqualifiers: Performance indicators:
     Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Speak/Write English & Spanish
     2	Know/Understand Medical Terminology and Disease Process
     3	2+ years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions
     Candidate Review & Selection
     Shortlisting process Second touchpoint for feedback Interview Information Onboard Process and Expectations	Projected HM Candidate Review Date:	1-2 days post-shortlisting
     Number and Type of Interviews:	1, Teams, Camera On
     Required Testing or Assessment (by Vendor):