Position Title: LTSS Service Care Manager
Work Location: Collier – Naples (Region-8)
Assignment Duration: 3 months with intent to convert
Work Schedule: 8 AM to 5 PM Mon to Fri
Work Arrangement: Will be in the field 80% to 90% of the time

Position Summary:
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost?effective healthcare outcomes.

Background & Context:

• 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

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.?

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

• Ability to manage high case load

• Fast paced environment regarding new processes and programs

• Comfort troubleshooting IT equipment or going into office/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:

1. Discharge Planning

2. Working with TruCare software

?Disqualifiers:

• Not having field experience

• Not having previous experience with high caseloads

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: $25.00/hr.