Job Title: LTSS Service Care Manager 
Duration: 3 months with intent to convert
Location: All candidates must reside in region 8- must reside within Sarasota County
Spanish speaking is preferred 
Note: Florida-based candidates (must be within specific areas noted on each request and per the tracker shared with vendors.
 Will be in the field 80-90% of the time/3-4 days of field visits and 1-2 days remote
 

"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.   License/Certification:  For Iowa Only: Bachelor's degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least two years of experience in the delivery of services to the population groups or current state's Registered Nurse (RN) license and at least four years of experience  required  For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW required.   For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW / LCSW-A preferred"                                                                                                "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"
Typical Day in the Role
Daily schedule & OT expectations Typical task breakdown and rhythm Interaction level with team Work environment description		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 plans of care. 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 member with filing and resolving complaints and appeals.
Compelling Story & Candidate Value Proposition
What makes this role interesting? Points about team culture Competitive market comparison Unique selling points Value added or experience gained		Working with members in a face-to-face environment This position does have the intent to convert based on performance and eligibility Independent work Each member must be contacted once per month, and some may need to be seen
Candidate Requirements
Education/Certification	Required: Requires a Bachelor's degree and 2 – 4 years of related experience.  (Bachelors Degree should be within the realm of Healthcare) – Psychology, Sociology, etc.   Field experience would need to be long term to have the team consider someone that does not have a degree within the space they are looking for.			Preferred: n/a
Licensure	Required: Valid driver's license			Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: 2+ years of Care Management experience (field experience is a must) Caseloads of 50,60,70 members – bonus if it is geriatric Long Term Care Medicaid experience Medicaid / Medicare experience Need to see experience being able to manage high case load Fast paced environment regarding new processes and programs They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space. All documentation must be within system within 24 hours of completion Experience with electronic medical health records Home Health Experience   Nice to haves: Discharge Planning Working with TruCare which is the software the team uses Disqualifiers: Not having field experience Not having previous experience with high caseloads   Performance indicators: Bilingual always preferred – req will indicate if Bilingual is required via the notes section
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	2 years of field case management
		2	Technology Savy

Position is offered by a no fee agency. 

Location : Sarasota< FL 

 


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: $29.00/hr.