Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
Develops or assists with developing personalized service care plans/service plans for long-term care members
Educates members and their families/caregivers on services and benefits available to meet member needs
Evaluates member needs, available resources, and recommends/facilitates plans for best outcomes
Identifies providers, specialists, and community resources needed for long-term care
Coordinates between member/family/caregivers and the care provider team to ensure services are accessible
Provides resource support for needs such as employment, housing, participant direction, independent living, justice, foster care
Monitors care plans, member status and outcomes and provides recommendations as appropriate
Interacts with long-term care healthcare providers and partners to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities for regulatory compliance
May perform home and/or other site visits to assess member’s needs and collaborate with providers and partners
Provides and/or facilitates education to members and families/caregivers on procedures, provider instructions, service options, referrals, and benefits
Provides feedback to leadership on opportunities to improve quality of care and service delivery
Performs other duties as assigned and complies with all policies and standards
Requirements
Requires a Bachelor's degree
2 – 4 years of related experience (or equivalent experience)
LVN or LCSW / LCSW-A preferred
Candidate must live in/around Del Rio, TX
Ability to perform home and/or other site visits
Experience developing personalized service care plans/service plans for long-term care members
Knowledge of state, federal, and third-party payer regulations and documentation
Ability to coordinate between members, families/caregivers, and provider teams
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules
total compensation may include additional forms of incentives
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