Assignment Duration
6 months (possibility to extend)
Work Location
Wilmington and Jacksonville (Hybrid role)
Work Arrangement
Remote role with 80% travel
Position Summary
Managing a case load for healthcare members with LTSS (Long Term Support/Services) needs. Monthly and quarterly member contact will include 80% travel. Remote role. Will require a driver’s license.
Key Responsibilities
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.
Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact.
Authorize and coordinate referral for services.
Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.
Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
Assist members with filing and resolving complaints and appeals.
Qualification & Experience
Licensed Clinical Social Worker (LCSW) or Registered Nurse (RN) License and 2+ years of physical health care management experience; 4‑6+ years preferred.
Hospital CM, Home health, discharge planning, or long‑term care experience preferred.
Valid driver’s license required.
Required Skills/Experience
RN and/or LCSW
Physical Health, Care Management, Utilization Management, Home Health background
Preferred Skills/Experience
2+ years of physical health Care Management experience
Experience with electronic medical health records (EMR)
Microsoft Office
Long term care, Discharge planning
Education Requirement
Bachelor's
Software Skills Required
Microsoft Office, Experience with electronic medical health records
Required Certifications
Valid driver’s license and LCSW/RN