About the Role
The position involves coordinating long-term support services for members by assessing needs, creating care plans, and connecting individuals with appropriate resources to improve health outcomes and quality of life.
Responsibilities
- Conduct initial assessments to identify member needs and eligibility for services
- Develop personalized care plans in collaboration with members and providers
- Coordinate access to long-term support services and community resources
- Monitor member progress and adjust care plans as needed
- Maintain accurate and timely documentation in case management systems
- Serve as a liaison between members, families, and healthcare providers
- Ensure compliance with regulatory and program-specific requirements
- Facilitate transitions of care between settings such as home, facility, or hospital
- Educate members on available services and care options
- Advocate for member needs within the healthcare system
- Respond to inquiries from members, families, and providers
- Participate in care coordination meetings and case conferences
- Track service utilization and outcomes for quality improvement
- Support members in achieving personal health and wellness goals
- Promote member independence and community integration
- Identify and address barriers to care access
- Collaborate with interdisciplinary teams to deliver holistic care
- Conduct follow-ups to ensure service delivery and satisfaction
- Assist with crisis intervention when necessary
- Uphold confidentiality and ethical standards in all interactions
Nice to Have
- Master's degree in social work, counseling, or healthcare field
- Certification in care coordination or case management
- Experience with Medicaid or government-funded programs
- Familiarity with LTSS assessment tools
- Bilingual communication skills
Compensation
Competitive pay based on experience and location
Work Arrangement
Hybrid work model with both remote and on-site components
Team
Collaborative team environment focused on member-centered care
About the Role
This role is essential in guiding members through complex care systems, ensuring they receive timely and appropriate services tailored to their individual needs.
What You'll Do
Perform comprehensive assessments, develop care strategies, coordinate services, and monitor outcomes to support member well-being and independence.
Not available for this position
