Position Title: LTSS Service Care Manager
Work Location: Martin County, FL (Zip Codes: 34994, 34995, 34996, 34997)
Assignment Duration: 6 Months with potential to extend or convert
Work Schedule: 8–5 Mon–Fri
Work Arrangement: Remote with 80–90% 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 and educates members and their families/caregivers on services and benefits available to meet member needs.

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:

• Southern Palm Beach County is the target location.

• Prefer Spanish Speaking

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

• 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)

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

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

• They can build and schedule their meetings throughout the week

• 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

• Experience with field based case management, remote work, Average CL #, home visits, care plan development, experience with type of assessments

• 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

• Prefer experience working with TruCare which is the software the team uses

• Experience in Case Management in senior services, state agencies. Team Player, problem solver, solutions oriented, member centric, Integrity

Candidate Requirements:
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

Position is offered by a no fee agency. 

Location : Stuart, FL, 34994 

 


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: $25.00/hr.