job summary:
We are seeking an experienced Case Management professional to support a Long-Term Services and Supports (LTSS) program in the Stafford, Virginia region. This field-based position focuses on assessing member needs, coordinating appropriate services, developing individualized care plans, and promoting positive healthcare outcomes. The ideal candidate will have a strong background in behavioral health, social services, or healthcare case management, along with excellent communication and critical-thinking skills.This position requires travel up to 70% of the time to conduct face-to-face member visits. Candidates must reside in Stafford, VA, or the surrounding areas and have reliable transportation.
location: Stafford, VA
job type: Contract
salary: $34 - $36.50 per hour
work hours: 8am - 5pm
education: Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services
responsibilities:
• Member Assessment and Care Coordination
• Conduct comprehensive assessments to evaluate member needs, eligibility, benefits, and available healthcare resources.
• Identify risk factors, service needs, and barriers that may impact member outcomes.
• Develop, coordinate, and monitor individualized care plans to support members' healthcare needs.
• Connect members with appropriate internal and external programs, services, and resources.
• Provide crisis intervention and follow-up when necessary, including referrals to appropriate clinical providers.
• Quality of Care and Member Support
• Collaborate with case managers, supervisors, Medical Directors, and other healthcare professionals to achieve optimal member outcomes.
• Identify and escalate quality-of-care concerns through established procedures.
• Apply clinical judgment and established guidelines to support appropriate healthcare services and benefit utilization.
• Use motivational interviewing, coaching, and negotiation skills to encourage member engagement and promote healthy lifestyle changes.
• Educate and empower members to actively participate in healthcare decisions with their providers.
• Identify and address barriers to care through a collaborative, member-centered approach.
• Monitoring, Evaluation, and Documentation
• Monitor member progress and update care plans as needed.
• Maintain accurate and timely documentation in accordance with regulatory, accreditation, and organizational requirements.
• Review clinical information, utilization data, and member-reported information to identify ongoing needs.
• Ensure case management activities comply with established policies, procedures, and quality standards.
qualifications
• Required Qualifications Minimum of 2 years of experience in behavioral health, social services, or a related field.
• Must reside in Stafford, VA, or surrounding areas.
• Must have reliable transportation and be willing and able to travel up to 70% of the time for face-to-face member visits.
• Valid high school diploma or GED.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office, including Excel, Outlook, and Teams.
• Ability to navigate multiple computer systems and maintain accurate documentation.
• Ability to multitask, prioritize responsibilities, and adapt to a fast-paced environment.
• Business mileage will be reimbursed in accordance with the applicable expense reimbursement policy.
skills:
• Previous case management experience.
• Discharge planning experience.
• Managed care or healthcare industry experience.
• Experience working with members managing chronic conditions, such as diabetes, hypertension, and asthma.
• Previous experience in a hospital, home health, ambulatory care, or alternative healthcare setting.
• Experience with clinical case management systems.
• Previous LOCERI experience is a plus.
• Certifications or credentials such as LMHP, QMHP, LMSW, LBSW, MSW, or BSW.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.