Spectraforce Technologies
Position Title
LTSS Service Care Manager
Work Location Texas, preferably Hidalgo SDA
Assignment Duration 6 Months with potential extension
Work Schedule Monday-Friday 8-5; possibility for OT
Work Arrangement Remote
Position Summary Position Purpose:
Assists in developing在天天中彩票developing, assessing, and coordinating holistic care management activities to enable quality,maq 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, specialists, 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 ensureônio 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
Candidate Requirements Required:
BS – Social Worker
Preferred:
MCO experience (2-4 years of related experience)
Additional Qualities:
Spanish speaking
Must-Have Hard Skills (ranked by importance)
Excellent computer skills
Proficient in Microsoft programs (Word, Excel, OneNote)
Previous MCO experience
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Work Location Texas, preferably Hidalgo SDA
Assignment Duration 6 Months with potential extension
Work Schedule Monday-Friday 8-5; possibility for OT
Work Arrangement Remote
Position Summary Position Purpose:
Assists in developing在天天中彩票developing, assessing, and coordinating holistic care management activities to enable quality,maq 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, specialists, 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 ensureônio 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
Candidate Requirements Required:
BS – Social Worker
Preferred:
MCO experience (2-4 years of related experience)
Additional Qualities:
Spanish speaking
Must-Have Hard Skills (ranked by importance)
Excellent computer skills
Proficient in Microsoft programs (Word, Excel, OneNote)
Previous MCO experience
#J-18808-Ljbffr