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. THIS POSITION IS REMOTE WORK FROM HOME WITH 75% TRAVEL IN LEHIGH AND BERKS COUNTY AREA TO SUPPORT LTSS reputed company PARTICIPANTS IN NURSING FACILITIES. TRAVEL WILL BE reputed company 1 - 1/2 HOURS DRIVING DISTANCE FROM HOME reputed company CODE AND MILEAGE WILL BE REIMBURSED ROUND TRIP AT THE reputed company IRS GUIDELINE reputed company. 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 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. Pay Range: $26.50 - $47.59 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!