LTSS Service Care Manager
Core
Develops, assesses, and coordinates holistic care management activities and personalized service plans for long-term care members to enable quality, cost-effective healthcare outcomes.
Role type
Senior IC long-term care service care manager
Builds
Personalized service care plans and care management activities for long-term care members
Domain
Healthcare / Long-term care / Social services
Required skills
Care plan development, resource coordination, provider network management, member/family education, regulatory compliance documentation, outcome monitoring
Preferred skills
Previous assessment experience, experience with Community Health Choices (CHC), knowledge of Pennsylvania long-term care regulations
Responsibilities
Evaluate member needs and available resources to recommend care plans; Identify and coordinate with healthcare providers, specialists, and community resources; Monitor care plans and member status to ensure service accessibility; Provide resource support for housing, employment, and independent living needs; Conduct home and site visits to assess member needs; Educate members and families on services, benefits, and healthcare procedures; Document care management activities to ensure compliance with state and federal regulators; Provide feedback to leadership on quality of care improvements