Job Title
Location: Wake County, NC or Charlotte, NC
Pay: Competitive, based on experience
Duration: 6 months with potential for extension or conversion to permanent
Shift: 8-5 Mon-Fri EST
Travel: 80% travel required
Responsibilities:
Assist in developing, assessing, and coordinating holistic care management activities
Enable quality, cost-effective healthcare outcomes
Develop or assist with developing personalized service care plans/service plans for long-term care members
Educate members and their families/caregivers on services and benefits available to meet member needs
Manage a case load for healthcare members with LTSS (Long Term Support/Services) needs
Conduct monthly and quarterly member contact
Complete assessments with members, caregivers, or providers
Monitor delivery of services and follow-up with members, caregivers, or providers
Authorize and coordinate referral for services
Ensure provider services are delivered without gaps
Assist in coordinating the development of informal or voluntary services
Collaborate with discharge planners, physicians, and other parties
Assist member with filing and resolving complaints and appeals
Requirements:
Education/Certification: Required: Bachelor's
Licensure: Required: RN and/or LCSW/LCSW-A/BSN
Experience: 2-4 years of physical health care management experience required
Preferred: 4-6 years of physical health care management experience
Preferred Experience: Hospital CM, Home health, discharge planning, or long-term care experience
Home health experience
Required Skills:
RN and/or LCSW
Experience in physical hospital health, care management, utilization management, or home health
Proficiency in Microsoft Office
Preferred Skills:
Experience with Microsoft Office
Experience with electronic medical health records
Benefits:
Mileage and lodging reimbursed if needed
Valid driver's license required
Quarterly meetings: Once a quarter, attend a team meeting/training session