LTSS Service Care Coordinator

Immediate need for a talented LTSS Service Care Coordinator. This is a 03+ months contract opportunity with long-term potential and is located in San Antonio, TX(Remote; Training is onsite). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-76611
 
Pay Range: $18 - $21/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities: 

• Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.
• May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
• In addition to meeting one of the above criteria, must have experience working with:
• Addictive and dysfunctional family systems
• Racial and ethnic minorities
• Homosexuals and bisexuals
• Persons with AIDS, and
• Substance abusers
• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome.
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care.
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans.
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs.
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
• May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate.
• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.
• 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.
• 2 openings, team makes contractual contact with our members to assess for any unmet needs, services and addresses any barriers to health.  Mainly telephonic assessments, calls to members or parents, providers.
• Full time may need to work sometimes past 5pm as older members or parents are home after 5pm, but can flex during day for this. 
• Remote position, but we do meet in office every 2-3 months for meetings and team engagement activities.  New hires may need to go to office for initial training.
• Compelling Story & Candidate Value Proposition
• This role is interesting because you get to connect with our members or parents of children with special health care needs and challenges and assist them.
• Team is highly engaged and supportive of each other, always willing to help each other.  This is a fast-paced position, must be a very quick learner and receptive to feedback.

 
Key Requirements and Technology Experience:  

• Key skills;  Bilingual/Spanish
• Customer Service/Inbound/Outbound
• Medicaid
• Must haves: excellent customer service skills, strong computer skills, attention to detail, telephonic work, reliable internet connection.
• Nice to haves: bilingual/Spanish
• Disqualifiers: no experience working with Medicaid and special health care needs
• Performance indicators: no metrics, candidates need to have good work ethic/time management/organization. There is a productivity log, but the tasks are very fluid.
• Best vs. average:  quick learner, engaged, asks valid questions, cares about quality of work, takes initiative, cares for members’ needs.
• Computer skills – high level of exp, important (Microsoft Office)
• Communication skills – high level of exp, will be on telephonic majority of time
• Decision-making skills – be able gather information via probing to make decisions

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. 

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .


#prof J2W:CB3