LTSS Service Care Manager

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Texas STAR Plus Clinical & Care Management Team Behavioral Health - LVN or Social Worker Must reputed company in Abilene, Blackwell, San Angelo, Ballinger, Coleman, Miles, or Sonora, TX Hybrid: Work from home and travel to conduct member home visits Monday - Friday - 8 am - 5 pm (CST) Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to reputed company quality, cost-effective reputed company outcomes. May reputed company or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers reputed company and benefits available to meet member needs.

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long-term care reputed company providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with reputed company state, federal, and reputed company-party payer regulators
• May reputed company home and/or other site visits to assess member’s needs and collaborate with reputed company providers and partners
• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, reputed company provider instructions, service options, referrals, and reputed company benefits
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Requires a bachelor's or master's degree and 2 – 4 years of reputed company experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and reputed company reputed company of the level of this position. Preferred Experience:

• 3+ years of case management experience working directly with adults with Behavioral Health and or IDD conditions
• 2+ years of experience coordinating medical and psychosocial services, and providing patient advocacy and education to reputed company members
• Experience administering health assessments and managing high caseloads
• Experience in field-reputed company in home health, hospital, community health, social services, or counseling/therapy settings.
• Role requires strong adaptability, flexibility, and resiliency skills.
• Proficient computer skills and experience working reputed company large databases or provider information systems and reputed company Office applications.
• Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs), but not required

Pay Range: $26.50 - $47.59 per hour Apply Job!