LTSS Service Care Manager

Immediate need for a talented LTSS Service Care Manager. This is a 03+ months Contract to Hire opportunity with long-term potential and is located in Wichita Falls, TX (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-72701

Pay Range: $22 - $26/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift Time & Working Days: 8am 5pm, Mon to Fri, OT dependent on business needs.
• Must meet Quality standards of assessments of 92% or above
• Documentation must be completed for assessments within 3 BD turn around time
• Required travel of 75%
• Mileage reimbursement provided for member facing visits
• Travel within the MRSA West Area 3 days a week , work remotely 2 days .
• LTSS service care manager will have 3 days of travel for visits seeing the members in their home and 2 days working remote for documentation of assessments as well as any follow up and tasks required to work .
• SC will be assessing the member for approval or denial of personal attendant services to assist with Activities of daily living by filling out a H2060 form in the field .
• LTSS Service CM will fill out a required assessment and all forms, document their assessments and submitting for authorization or denial of services within a 3Business day turnaround.
• Evaluates the needs of the most complex and high risk members and recommends a plan of care for the best outcome.
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies.
• Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits.
• Educates on and coordinates community resources, to include medical and social services.
• Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living).
• Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources.
• Ensures identified services are accessible to members.
• Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system.
• Works to ensure compliance with clinical guidelines as well as current state and federal guidelines.
• 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 .

Key Requirements and Technology Experience:

• Key Skills:LVN, Home Health, and Spanish(Must) .
• Licensed Vocation Nurse .
• Social Worker .
• 2+ years of experience in a managed care environment or working with people who have disabilities and/or with vulnerable populations who have chronic or complex conditions.
• Bachelor's degree and 2 4 years of related experience or LVN and 2 4 years of related equivalent experience.
• Working the aged , blind or disabled population 5+ years or more. Bilingual strongly preferred.
• Social Service/ Social Work/ Care Management / Services Coordination Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Nursing/ LVN/ Medical.
• Aged, Blind or Disabled Population experience .
• Bilingual .
• Microsoft Office experience (Outlook, Word, Excel, etc ) .

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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