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Position Title: LTSS Care Navigator
Work Location: San Antonio, TX
Assignment Duration: 3 months with potential to extend
Work Arrangement: 8am-5pm CST
Optional OT is available, not mandatory
Position Summary:
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
Qualification & Experience:
Education/Certification:
Required: HS Diploma
Preferred: Bachelor
Licensure:
Required: n/a
Preferred: n/a
Years of experience required: Not specified
Disqualifiers: No experience working with Medicaid and special health care needs
Best vs. Average:
Best: Quick learner, engaged, asks valid questions, cares about quality, takes initiative, cares about members
Average: Basic task doer without proactive problem-solving
Performance indicators: No hard metrics; productivity log; fluid tasks
Top 3 Must-Have Hard Skills (Stack-Ranked):
Computer skills - High level of exp, especially Microsoft Office
Communication skills - High exp, telephonic work majority of time
Decision-making - Ability to probe and gather information to make decisions
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Spectraforce Technologies
Jul 17, 2025