Clinical - LTSS Service Care Manager (RN) - J01033

Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs.

Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license. Member assessments and notes.

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  Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.

  
  
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  Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact

  
  
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  Authorize and coordinate referral for services.

  
  
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  Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.

  
  
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  Assist in coordinating the development of informal or voluntary services to integrate into the member care plan

  
  
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  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!

  
  
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  Assist member with filing and resolving complaints and appeals.

  
  

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  Licensed Clinical Social Worker/Registered Nurse License and 2+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred.

  
  
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  Hospital CM, Home health, discharge planning, or long-term care experience preferred.

  
  
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  Licenses/Certifications: Valid driver's license

  
  
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  Education/Certification Required: Bachelor's

  
  
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  Licensure Required: RN

  
  
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  Years of experience required: 2-4+ years of physical health care management experience, 4-6+ years of physical health care management experience preferred.

  
  
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  Home health experience

  
  
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  Virtual

  
  
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  All Microsoft office

  
  
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  Experience with electronic medical health records

  
  
  
  
  
  
  

  Candidate Requirements
  Required: Bachelor's	Preferred:
  Required: RN	Preferred:
  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	1	RN Physical hospital Health, Care Management, Utilization Mgt, Home Health - all and/or background
  2	Microsoft office
  3	Bedside care management