Job Description

Job Title: LTSS Service Care Manager (RN)

Location: Winston Salem region, NC

Duration: 06 months with possible extension or conversion

Shift: Mon-Fri 8 am- 5 pm | Training 8-5 Mon-Fri EST learning journey is 4 weeks CAMERA ON NO TIME OFF (please ensure the candidates are aware they can't miss training)

Pay rate: $40-43

Note:

• Monthly and quarterly member contact and will include 80% travel in local areas.
• Remote role.
• Note From Hm: "2.5-3 hr radius from home residence for face-to-face member visits... mileage and lodging (if needed) is reimbursed...majority will be in surrounding counties and beyond."
  Remote 1-2 admin days a week , In person visits 3-4 days a week in field, Case load daily 2-3 a day
• Will require a driver's license.

Job Responsibilities:

• 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.
• Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
• Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
• Authorize and coordinate referral for services.
• Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
• Assist in coordinating the development of informal or voluntary services to integrate into the member care plan 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!
• Assist member with filing and resolving complaints and appeals.

Qualification:

• Bachelor's degree
• RN license

Experience required:

• 2-4+ years of physical health care management experience,
• Hospital CM, Home health, discharge planning, or long-term care experience preferred.
• Home health experience

Skills:

• Physical hospital Health, Care Management, Utilization Mgt, Home Health

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

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