Position Title: LTSS Service Care Manager

Work Location: Leon County - Tallahassee, prioritizing zip code 32309.

Assignment Duration: 3 months with intent to convert

Work Schedule: 8-5 Mon-Fri

Work Arrangement: Remote with 80% field travel

Position Summary:

• 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.

• Educates members and their families/caregivers on services and benefits available to meet member needs.

Background & Context:

• Geriatric long term care

• Managing a case load for healthcare members with long term care needs.

• Member assessments and notes.

• Monthly and quarterly member contact.

Key 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.

Qualification & Experience:

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

• Equivalent experience accepted if reflective of the level of this position.

Licensure/Certification:

• Required: Valid driver's license

• For Iowa Only: Bachelor's degree with 30 semester hours in human services + 2 years relevant experience OR RN with 4 years of experience.

• For North Carolina Standard Plan: 2 years of LTSS/HCBS experience; RN or LCSW required.

• For North Carolina Tailored Plan: 2 years of LTSS/HCBS experience; RN or LCSW/LCSW-A preferred.

Notes:

• Must haves:

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

  • Experience handling 50-70 member caseloads, preferably geriatric

  • Long Term Care Medicaid experience

  • Experience with Medicaid/Medicare

  • Ability to manage high caseloads

  • Comfortable with fast-paced changes and IT troubleshooting

  • Timely documentation within 24 hours in electronic medical record systems

  • Home Health experience

• Nice to haves:

  • Discharge planning

  • Experience with TruCare software

• Disqualifiers:

  • No field experience

  • No prior experience with high caseloads

• Performance indicators:

  • Bilingual preferred (not mandatory unless noted)

Position is offered by a no fee agency. 

Location : Various, Various, Florida, United States, 99999 

 


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.