LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: McAllen, Mission, Palmview, La Joya, Pharr TX

Assignment Duration: 3 months

Work Schedule: M-F 8-5 CST and OT as required (depending on the work)

Position Summary:

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Background & Context:

• Working with adults over age 21 who are applying for long term support services such as attending adult day care, receiving personal assistance services to assist with activities of daily living.

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 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

Qualification & Experience:

• Requires a Bachelor's degree and 2 - 4 years of related experience.
• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
• Required: LVN or bachelor's degree w/2-4 years' experience
• Required: LVN
• Must haves: 2-4 year experience conducting assessments in member homes to determine needs for assistance in completing activities of daily living (ADL's)
• Nice to haves: bilingual
• Disqualifiers: n/a
• Performance indicators: self-starter, working well independently, completing work in a fast-paced environment, meeting turn around time deadlines.
• Top 3 must-have hard skills:
  
  
  
  1. Experience in completing assessments in the field
  2. Working in a fast-paced environment
  3. Organized