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Position Title: LTSS Service Care Manager - J01031
Work Location: Remote from Del Rio, Crystal City, Uvalde TX (field travel within MRSA West)
Assignment Duration: 6 months
Work Schedule: 8am-5pm M-F, overtime may be required
Work Arrangement: Remote and field-based (3 days field, 2 days remote) Position Summary:
Must meet Quality standards of assessments of 92% or above
Documentation must be completed for assessments within 3 BD turn around time
Required travel of 75%
Mileage reimbursement provided for member-facing visits
Travel within the MRSA West Area 3 days a week, work remotely 2 days
Key Responsibilities:
LTSS service care manager will have 3 days of travel for visits seeing the members in their home and 2 days working remote for documentation of assessments as well as any follow up and tasks required to work
SC will be assessing the member for approval or denial of personal attendant services to assist with Activities of daily living by filling out a H2060 form in the field
LTSS Service CM will fill out a required assessment and all forms, document their assessments and submitting for authorization or denial of services within a 3Business day turnaround
Evaluates the needs of the most complex and high-risk members and recommends a plan of care for the best outcome
Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits
Educates on and coordinates community resources, to include medical and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members
Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines
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 all policies and standards
Qualification & Experience:
Required: Bachelor's degree and 2-4 years of related experience or LVN and 2-4 years of related equivalent experience
Preferred: Prefer Social Work, LVN, Medical background that would require at least a bachelor's degree
Must have worked with the Aged, Blind or Disabled population 5+ years
Bilingual strongly preferred
Microsoft Office experience required (Outlook, Word, Excel, etc.)
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Spectraforce Technologies
mileage reimbursement
Aug 02, 2025