Long-Term Care Service Manager

2 weeks ago


Florida, United States Pyramid Consulting, Inc Full time

Immediate Opportunity: We are seeking a dedicated Clinical - LTSS Service Care Manager for a contract position with the potential for long-term engagement. This role is designed for professionals who are passionate about enhancing the quality of care for individuals with long-term service needs.

Position Overview:

This role involves managing a caseload of healthcare members requiring long-term care support. The position is primarily remote, with a requirement for 80% travel within the designated service area. A valid driver's license is essential.

Key Responsibilities:

  • Oversee a caseload of members with long-term care requirements.
  • Conduct monthly and quarterly member interactions, necessitating travel.
  • Perform assessments and maintain detailed notes on member status.
  • Collaborate with members, caregivers, and providers to gather essential information for care plan development.
  • Monitor service delivery and ensure follow-up through in-person visits and phone contact.
  • Authorize and coordinate referrals for necessary services.
  • Identify and address any gaps in service delivery.
  • Facilitate the integration of informal or voluntary services into member care plans.
  • Work closely with discharge planners, physicians, and other stakeholders to ensure effective care coordination.
  • Assist members in navigating complaints and appeals processes.

Qualifications:

  • Bachelor's degree or Registered Nurse License with a minimum of 2 years in care management, or equivalent experience.
  • Preferred experience in home health, discharge planning, or long-term care.
  • Proficient in electronic medical records and Microsoft Office.
  • Demonstrated experience in care management.

About Us:

Pyramid Consulting, Inc. is a leader in the Healthcare Industry, committed to providing equal employment opportunities and fostering a diverse workplace. We are currently seeking qualified candidates for this and other similar positions.



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