Job Description

Position Title: LTSS Care Navigator
Work Location: Remote: Source from San Antonio, TX. Not doing member visits, but team building exercises do occur occasionally and training. Issues with tech can be fixed in office as well.
Assignment Duration: 3 months (Contract to Hire)
Work Schedule: 8am-5pm CST
Work Arrangement: Remote; Team Meetings every 2 months in office; New hires may need to go to office for initial training.

Position Summary: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Key Responsibilities:

• 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 healthcare 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 current state, federal, and third-party payer regulators

• May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate

• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare 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 all policies and standards

  Qualification & Experience:

• Requires a Bachelor's degree and 1 year of related experience.

• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Job Tags

Contract work, Work at office, Remote work,

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