LTSS Service Care Manager

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Develop, evaluate, and coordinate comprehensive care management initiatives aimed at achieving quality and cost-effective healthcare outcomes.

• Create or assist in the formulation of individualized service care plans for long-term care members.

• Provide education to members and their families/caregivers regarding available services, benefits, procedures, provider instructions, referrals, and healthcare entitlements.

• Assess member needs and available resources, recommending or facilitating plans to achieve optimal outcomes.

• Identify necessary providers, specialists, and community resources for long-term care.

• Coordinate member and/or family/caregiver interactions with care provider teams to ensure accessibility of services.

• Offer resource support for employment, housing, participant direction, independent living, justice, foster care, and other essential needs.

• Monitor care plans, member status, and outcomes, suggesting updates based on evolving member needs.

• Engage with long-term care healthcare providers and partners.

• Collect, document, and maintain member information and care management activities to ensure regulatory compliance.

• Conduct home and/or other site visits as required.

• Provide feedback to leadership concerning quality of care and service delivery enhancements.

• Perform additional duties as assigned while adhering to all policies and standards.

⛳️ Requirements

• Must reside in Iredell, Rowan, Alexander, Davie, Davidson, Yadkin, Catawba, Wilkes, Lincoln, or Stanley County, North Carolina.

• RN or LCSW licensure is required.

• A Bachelor's degree is mandatory, with specified qualifying-experience alternatives.

• 2–4 years of relevant experience is necessary.

• For North Carolina Standard Plan: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience is required.

• Previous experience in social work, geriatrics, gerontology, pediatrics, or human services is preferred.

• Experience in interviewing and assessing member needs is essential.

• Knowledge and experience in caseload management and casework practices are required.

• Familiarity with determining eligibility for DHSS programs is necessary.

• Understanding of Federal and State regulations as they pertain to DHSS programs is essential.

• Ability to effectively troubleshoot and locate community resources is crucial.

• Capacity to collaborate with caregivers, involved State agency representatives, and providers is important.

• Strong interpersonal skills are necessary.

• Ability to practice Cultural Competency, with an awareness and respect for diversity.

• Knowledge of the needs and service delivery systems for all populations within the case manager’s caseload is required.

• Technological proficiency is expected.

• Exceptional communication and customer service skills are essential.

• Strong assessment skills are required.

• Change management capabilities are necessary.

• Experience in LTSS and/or HCBS coordination is required.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentive forms may be included in total compensation.