Clinical - LTSS Service Care Manager - J01031 Job at Pacer Group, Bear, DE

ZG9aK3VSdjl1eUxQT2RqWm1ndGtObzNYT3c9PQ==
  • Pacer Group
  • Bear, DE

Job Description

Job Title: LTSS Service Care Manager (RN)

Location: Delaware (New Castle County) Field-Based / Remote Hybrid

Duration: 6 Months (Potential Extension/Conversion)

Schedule: Monday Friday, 8:00 AM 5:00 PM EST

XXXX: $35.00 - $41.00 hourly on W2

Job Summary

We are seeking an experienced LTSS Service Care Manager (RN) to support long-term services and supports (LTSS) members through comprehensive care coordination and case management. This role focuses on evaluating member needs, facilitating care plans, and ensuring access to appropriate healthcare and community resources to drive quality and cost-effective outcomes.

Key Responsibilities

  • Assess member needs and develop individualized care/service plans
  • Conduct level of care redeterminations and support transition of care activities
  • Coordinate with healthcare providers, specialists, and community resources
  • Facilitate communication between members, families, caregivers, and care teams
  • Perform home visits to assess member conditions and service needs
  • Monitor care plans and adjust based on member progress and outcomes
  • Provide education on healthcare services, benefits, and available resources
  • Assist members with needs such as housing, employment, and independent living support
  • Maintain accurate documentation in compliance with regulatory requirements
  • Collaborate with internal teams to improve care quality and service delivery

Required Qualifications

  • Bachelor's degree or equivalent experience
  • 2 4 years of relevant experience in care management or case management
  • Active Delaware or Compact RN License
  • Valid driver's license and ability to travel for home visits
  • Experience with level of care assessments, transition of care, and case management
  • Strong computer proficiency

Preferred Qualifications

  • Experience working as a Service Care Manager
  • Experience evaluating elderly or disabled populations
  • Knowledge of medication reconciliation processes

Key Skills

  • Care coordination and case management
  • Clinical assessment and documentation
  • Communication and stakeholder collaboration
  • Problem-solving and resource navigation

Performance Expectations

  • Conduct approximately 4 5 member assessments per week
  • Complete 4 5 level-of-care redeterminations per day
  • Maintain compliance with all care management and documentation standards

Work Environment

  • Combination of remote work and field-based member visits
  • Collaborative team environment supporting LTSS population

Job Tags

Hourly pay, Remote work, Monday to Friday

Similar Jobs

USA Rare Earth

Accounting Internship Job at USA Rare Earth

 ...Accounting Internship Who we are: We are on a mission to become a leading supplier of critical materials that enable the...  ...research projects and other duties as assigned by manager A summer intern will be responsible for assisting in the day-to-day... 

SP (SP Plus)

Valet Driver Job at SP (SP Plus)

 ...our most valuable asset, time. Responsibilities: Position: Valet Hours : Monday-Friday 8am to 5pm If you are driven to succeed, you should join SP+. We are looking for safe Valet drivers with warm smiles who enjoy interacting with people. Work with our... 

Resilient Ent. Inc.

Entry-Level Marketing & Outreach Associate Job at Resilient Ent. Inc.

 ...Overview We are seeking a motivated and enthusiastic Entry-Level Marketing & Outreach Associate to join our growing...  ...self-motivated No prior experience requiredfull training provided What We Offer Paid training and ongoing mentorship Opportunities for... 

Arcetyp LLC

Military Pharmacy Tech - Referral Mgmt (On-Site Japan) Job at Arcetyp LLC

A consulting firm is seeking a Pharmacy Technician to provide support for the military treatment facility in Iwakuni, Japan. The technician will manage referral processes, assess and monitor referrals, and ensure compliance with health guidelines. Candidates must possess... 

SGS Consulting

Billing Specialist I - Patient Account Services Coordinator Job at SGS Consulting

 ...Job Responsibilities: ~ Entry level position: 0-2 years of pharmacy billing experience Strong communication, interpersonal, and prioritization...  ...changing environment Skills: ~06 months experience in healthcare billing, reimbursement, collections practices, and/or...