Long-Term Care Service Manager
2 weeks ago
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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