Day to Day Responsibilities of this Position and Description of Project:
Managing a case load for healthcare members with long-term care needs.
Monthly and quarterly member contacts will include 80% travel. Remote role. Will require a driver’s license.
long-term care experiance with Alliance for Aginging.
Member assessments and notes.
Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
Follow-up with members, caregivers, or providers through in-person visits.
Authorize and coordinate referral for services.
Ensure provider services are delivered without gaps and identify functional deficiencies in care plans.
Assist members with filing and resolving complaints and appeals.
Required Skills/Experience:
2+ years of Care Management experience (field experience is a must)
Caseloads of 70+ members who are 18 years of age and above.
Long Term Care Medicaid experience
Client recruitment via clinics and buildings.
Need to see experience being able to manage high case load
Each member must be contacted once per month, and some may need to be seen
Fast-paced environment regarding new processes and programs
Enroll, followup and start memebers with the Long Term Care Program, also have worked with medicaid applications.
All documentation must be within the system within 24 hours of completion
Home Care or Home Health Experience
Top 3 skills
2 years of field case management as a social worker
Technology Savy
Must be able to look at the calendar and manage time - ensuring enough time for documentation
Preferred Skills/ Experience:
Discharge planning
Education Requirement:
Required: Requires a bachelor’s degree and 2 – 4 years of related experience. (Bachelor’s degree should be within the realm of healthcare) – Psychology, Sociology, etc.
Field experience would need to be long-term to have the team consider someone that does not have a degree within the space they are looking for.
Required Certifications:
Valid driver's license
No medical benefits, no retirement benefits, no PTO and one week paid vacation a year to employers discretion. 1099 given for taxes.