Job Description
Position Title: LTSS Service Care Manager
Work Location: Leon and Jackson County area
Assignment Duration: 3 months with intent to convert
Work Schedule: 8–5 Mon–Fri
Work Arrangement: Remote role. Will require a driver’s license.
Position Summary:
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Monthly and quarterly member contact and will include 80% travel.
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Managing a case load for healthcare members with long term care needs.
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Geriatric long term care
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Member assessments and notes.
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Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
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Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact.
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Authorize and coordinate referral for services.
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Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
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Assist in coordinating the development of informal or voluntary services to integrate into the member care plan.
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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.
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Assist member with filing and resolving complaints and appeals.
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
- 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 3 Must be able to look at calendar and manage time - ensuring enough time for documentation
Location : Various, Various, Florida, United States, 99999
- For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
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: $27.00/hr.