Long-Term Care Management Specialist

2 weeks ago


Lake City, Florida, United States Axelon Full time

Location: This role is primarily remote, with the expectation of visiting clients in various settings, including their homes and facilities. The position is focused on providing essential support to members in need of long-term care services.

Work Schedule: Monday to Friday, 8 AM to 5 PM.

Requirement: A valid driver's license is mandatory.

Position Overview:
As a Long-Term Care Management Specialist, you will play a crucial role in developing, evaluating, and coordinating comprehensive care management strategies aimed at achieving high-quality and cost-effective healthcare outcomes. Your responsibilities will include creating personalized service plans for long-term care members and educating them, along with their families and caregivers, about available services and benefits.

Key Responsibilities:

  • Manage a caseload of healthcare members requiring long-term care support.
  • Conduct monthly and quarterly follow-ups with members, which will involve significant travel.
  • Perform assessments and maintain detailed notes regarding member status.
  • Collaborate with members, caregivers, and providers to gather information necessary for developing care plans.
  • Monitor service delivery and ensure consistent follow-up through in-person visits and phone communications.
  • Authorize and coordinate referrals for additional services as needed.
  • Identify and address any gaps in service delivery and functional deficiencies in care plans.
  • Facilitate the integration of informal or voluntary services into the member's care plan.
  • Work closely with discharge planners, healthcare providers, and other stakeholders to ensure seamless transitions and comprehensive care coordination.
  • Assist members in navigating complaints and appeals processes.


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