New Job! Proactive - there will be multiple spots and locations, definitely in Chicago area but also spread out amongst IL - opening to all IL for now - just us and SpectraForce on this!
HSS Job Title: Long Term Care Manager- Hybrid
Company Job Title: Clinical - LTSS Service Care Manager
Staffing specialist: Jerome Pulido
Hiring Manager: Kejvana Lee
Req: TBD
Length of Assignment: Temp to hire - 6 months with potential to extend or convert
MU or BR: BR 44
Compensation: $27-$30 per hour - try to keep PR low, working off BR
Shift: M-F 8am-4:30pm CST with 30 minute lunch - No OT or holidays
Location: Looking for all of IL - also below zip codes in Chicago are needed, but will also receive other locations once req is officially opened. Also pending information on how far traveling will be and how often they will visit member's homes
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60601,60602, 60603, 60604, 60605, 60606, 60607, 60608, 60610, 60611, 60612, 60613 60614, 60618,60622, 60623, 60624, 60641, 60642, 60647,60654, 60657, 60661
Start Date: ASAP
Recruiter Sub Requirements
Minimum Qualifications:
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Must have a Bachelor's degree and one of the below 3:
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Active and Valid RN license in IL
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Bachelor or Master’s Degree prepared in human services related field. Bachelor’s Degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.
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LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly (in addition to the 1 year requirement listed below)
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1+ years of case management experience and completing field visits for long term care members managing HCBS waivers
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Case load number and types of patients, and field visits must be in the resume
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Must be comfortable going into members’ homes for assessments
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Ensure fieldwork experience is visible on the resume – will be DQ'd by manager otherwise
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Must have experience with EMR and able to complete documentation within 24 hours into the system
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Must have a Valid and Active Driver’s license with reliable transportation
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Must have MS Office exp - excel, outlook, word
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Strong tenure - please include reasons for leaving for positions that are less than a year or gaps larger than a month
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If they are currently working a PRN/PT job - please indicate on the resume that they are leaving the role or not for a quicker submittal process. This is also helpful for the managers when they are reviewing resumes because of the conflict of interest policy.
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If keeping role please put: "Planning on keeping role, does not interfere with shift and can opt of Centene members"
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Please ensure zip code is at top of the resume
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WFH capability – smart phone, private workspace, high speed internet
Soft Skills:
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Organizational skills
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excellent time management
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interpersonal skills
DQ:
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Does not live in counties listed above (once official counites are confirmed
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No field work experience
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No experience with LTSS care coordination managing HCBS waivers
In Depth Information to Provide Candidates:
Travel: Pending additional information but will go to member's homes
About the Job:
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LTSS Case Manager, specifically managing the following HCBS waivers: Physical Disabilities and Aging
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The individual works from home and is required to have their own car and a valid driver’s license to visit members in their home to conduct health risk assessments, create care plans and service plans
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They are required to have a home office space to complete documentation and phone calls necessary to coordinate care and conduct follow-up assistance.
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Performance and expectations include specific production requirements (a minimum monthly contact requirement and caseload compliance to meet contractual deadlines) as well as passing monthly audits with a score of 90% or above.
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In addition, must complete all documentation within 2 business days from the contact, follow all processes, policies and procedures, complete internal audit remediation within 14 days of receiving audit notification and meet all deadlines provided.
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Unauthorized overtime is not approved
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Pending additional information about caseload and visits
Company Job Description
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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.
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Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
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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
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Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
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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
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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
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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
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May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
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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
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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
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Performs other duties as assigned
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Complies with all policies and standards
