Clinical - LTSS Service Care Manager

Position Title: LTSS Service Care Manager
Work Location: Candidates must reside within the state of Florida – Specifically Region 11 (Miami-Dade/Monroe would be amazing) northern Miami (Hialeah) 33012, 33013, 33147 (Miami) 33130, N, Miami 33180 is also okay
Assignment Duration: 3 months, contract to hire
Work Schedule: 8 am – 5 pm EST Mon – Fri

Responsibilities:
Remote Training - 30 days
Involves field-based training where the case managers will get to shadow on their last week (week 5) – hands on experience

• Working with members in a face-to-face environment
• This position does have the intent to convert based on performance and eligibility
• 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.
• Managing a case load for healthcare members with long-term care needs.
• Geriatric long-term care
• 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 provider s 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 care plans.
• 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

 

Candidate Requirements
Education/Certification	Required: Requires a Bachelor's degree and 2 – 4 years of related experience			Preferred: n/a
Licensure	Required: n/a			Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators		Must have: Case management (2 years) Strong Microsoft skills   Nice to have Bi-lingual or Tri-lingual would be great but must be able to communicate (verbal and written) in English as well. The members will have intakes in English, but should there be any language barriers that is why the team is seeking someone Bi-Lingual. Previous LTC or Hospice experience Bilingual – Spanish preferred with strong English skills Hialeah to North Miami – preferred.  Also 33133, 33130, 33129, 33147   Previous interview feedback from HM on a general level: candidates are lacking in answering questions from the team during the interview Even though the team is seeking bi-lingual candidates - they are noticing that if English is not their first language, they may not be understanding the ask / question The team needs to ensure the CW can provide adequate and sufficient feedback Assessments to members will be completed in English - but with that they are looking to ensure comprehension   Best vs. average: Someone with great time management and great communication and written skills to the hiring manager it is very important for this person to be a team player   Someone who is adaptable to change   Training is completed virtually and not everyone is a virtual learner – this person should know and be comfortable with that
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	targeted case management is a good background to have
		2	Case management is a great background to have
		3	Strong Microsoft skills

Position is offered by a no fee agency. 
Location : Miami, FL, 33013 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $28.00/hr.