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Position Title: LTSS Care Navigator - J01107
Work Location: Remote - Source from San Antonio, TX. Not doing member visits, but team building exercises do occur occasionally and training. Issues with tech can be fixed in office as well.
Assignment Duration: 3 months
Work Schedule: 8am-5pm CST
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 on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
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 1 year of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Candidate must meet one of the 3 following criteria:
RN licensed in Illinois.
Bachelor or Master's Degree prepared in human services related field. Bachelor's degree in Human Services related field defined as:
Child, Family and Community Services
Early Child Development
Guidance and Counseling
Home Economics-Child and Family Services
Human Development Counseling
Human Service Administration
Human Services
Master of Divinity
Pastoral Care
Pastoral Counseling
Psychiatric Nursing
Psychiatry
Psychology
Public Administration
Rehabilitation Counseling
Social Science
Social Services/Social Work
Sociology
LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly
In addition to meeting one of the above criteria, must have experience working with:
Addictive and dysfunctional family systems
Racial and ethnic minorities
Homosexuals and bisexuals
Persons with AIDS
Substance abusers
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Spectraforce Technologies
Jun 30, 2025