New

LTSS Service Care Manager

Spectraforce Technologies
United States, North Carolina, Jacksonville
Jul 01, 2025
Position Title: LTSS Service Care Manager Work Location: Remote - Fayetteville NC (3), Wilmington NC (3), Jacksonville NC (3), Goldsboro NC (1) - residency preferred NOTE FROM HM: "2.5-3 hr radius from home residence for face to face mbr visits... mileage and lodging (if needed) is reimbursed. Assignment Duration: 6 Months (Potential to extend) Work Schedule: 8-5 Mon-Fri EST Work Arrangement: Remote with 80% field travel Position Summary: Managing a case load for healthcare members with long term care needs Monthly and quarterly member contact and will include 80% travel Remote role; will require a driver's license Background & Context: Additional staff needed due to business fluctuation Key Responsibilities: 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 providers 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 & Experience: Licensed Clinical Social Worker/Registered Nurse License 2+ years of care management experience 4-6+ years of care management experience preferred Home health, discharge planning, or long-term care experience preferred Software: Microsoft Office, EMR Valid driver's license