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LTSS Service Care Manager
Spectraforce
Stuart, Florida

a day ago

Job Description

Title: LTSS Service Care Manager 
Duration: 3 months (Contract to hire)
Location: Martin County
(Zip Codes to source from 34994, 34995, 34996, 34997)

Position Purpose:
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.

Education/Experience:

  • Requires a Bachelor's degree and 2 – 4 years of related experience.

  • Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Responsibilities:

  • 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 home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.

  • 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.

Daily Schedule & OT Expectations:

  • The position will be 8 to 5 with the possibility of participating in a flex work week after being hired on FTI (to be reviewed/approved by leadership based on performance in the role).

Typical Task Breakdown and Rhythm:

  • Interacting with members, family members, providers and other departments to ensure member’s needs are being met, member/provider requests/issues/concerns.

  • Visit members in field and return to home office to complete documentation.

  • This role is remote but also requires field work – which allows for a self-made independent role.

  • They can build and schedule their meetings throughout the week.

Interaction Level with Team:

  • The team has a strong longevity and many of the team have been a part of the team for years.

Work Environment Description:

  • This is a remote position working from a home office.

  • Southern Palm Beach County is the target location.

  • Location: Candidates must reside within the state of Florida – Specifically looking for a candidate in Martin County - Zip Codes to source from 34994, 34995, 34996, 34997.

  • Prefer Spanish Speaking.

Education/Certification:

  • Required: Requires a Bachelor's degree and 2 – 4 years of related experience.

  • Preferred: n/a

Licensure:

  • Required: Drivers License

  • Preferred: n/a

Years of Experience Required:

  • 2+ years of Care Management experience (field experience is a must).

Disqualifiers:

  • Lack of field-based case management experience.

  • Inability to manage high caseloads (50, 60, 70 members).

  • No experience with electronic medical health records.

  • Documentation not completed within 24 hours.

Best vs. Average:

  • Best: Experience with field-based case management, remote work, geriatric population, Long Term Care Medicaid experience, Medicaid/Medicare experience, high caseload management, fast-paced environment, comfort with IT troubleshooting, experience with TruCare software, home health experience.

  • Average: Meets minimum education and experience but lacks preferred skills like TruCare or geriatric focus.

Performance Indicators:

  • Experience with field-based case management, remote work, average caseload #, home visits, care plan development, experience with type of assessments.

  • Team player, problem solver, solutions oriented, member centric, integrity.

Top 3 Must-Have Hard Skills:

  1. Field-based case management (2+ years)

  2. Remote work (2+ years)

  3. Experience working with geriatric population (2+ years)

 



Position is offered by a no fee agency. 

Location : Martin County 

About Us: SPECTRAFORCE is one of the fastest-growing workforce solutions firms in the United States. As a diversity-owned business, we place human connection at the heart of everything we do, building strong relationships with both clients and candidates to fill roles successfully. Our teams in North and Central America and India serve more than 150 Fortune clients globally, leveraging custom AI technology to provide direct hire, executive search, nearshoring, offshoring, and project staffing solutions.
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
 
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
 
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer. 


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: $23.00/hr.

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