New 
Senior LTSS Service Care Manager - J01054
 Spectraforce Technologies | |
 United States, North Carolina, Raleigh | |
| 500 West Peace Street (Show on map) | |
 Jun 24, 2025 | |
| Job Profile SummaryPosition Purpose:Assesses, plans, implements, and coordinates holistic care management activities to enable quality, cost effective healthcare outcomes. May develop or assist with developing a personalized care plansservice plans for longterm care members and educates members and their familiescaregivers on services and benefits available to meet member needs.EducationExperience:Requires a Bachelors degree and 4 6 years of related experience.Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.LicenseCertification: For Iowa Only: Bachelors degree with 30 semester hours or equivalent quarter hours in a human services field including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy and at least four years of experience in the delivery of services to the population groups or current states Registered Nurse RN license and at least six years of experience required For Arkansas Total Care plan This position is designated as safety sensitive in Arkansas and requires a drivers license, child and adult maltreatment check before hire and recurring, and a drug screen at time of hire and recurring. Must reside in AR or border city. Travel: 5. requiredResponsibilitiesAssists with developing and continuously assessing ongoing longterm care plans and works to identify providers, specialist, andor community resources needed for longterm careCoordinates and manages as appropriate between the member andor familycaregivers and the care provider team to ensure identified services are accessible to membersMonitors care plansservice plans, member status and outcomes, as appropriate, and provides recommendations to care planservice plan based on identified member needsIdentifies problemsbarriers for longterm care management and appropriate care management interventionsProvides resource support to members and their familiescaregivers for various needs e.g. employment, housing, participant direction, independent living, justice, foster care based on service assessment and plansReviews longterm care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulationsReviews referrals information and intake assessments to assist with developing appropriate long term care plansservice plansCollaborates with healthcare providerspartners as appropriate to facilitate member care to ensure member needs are met and determine a revised service plancare plan for member if neededMay perform home andor other site visits to assess members needs and collaborate with healthcare providers and partnersCollects, documents, and maintains longterm care member information and care management activities to ensure compliance with current state, federal, and thirdparty payer regulatorsProvides andor facilitates education to members and their familiescaregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefitsPartners with leadership team to improve and enhance quality of care and service delivery for longterm members in a costeffective mannerProvides overall guidance and training to other team members within team May assist with additional assignments, projects or other support as needed Performs other duties as assigned.Complies with all policies and standards. | |