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LTSS Service Care Manager
Spectraforce
New Port Richey, Florida

8 hours ago

Job Description

Position Title: LTSS Service Care Manager
Work Location: Florida-based candidates (All candidates must reside in West Pasco (Bayonet Point, Hudson, Port Richey, New Port Richey, Trinity, Holiday) Spanish speaking preferred.
Assignment Duration: 3 Months Contract to Hire
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Hybrid (Remote with 80-90% field work)

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
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:
  1. Discharge Planning
  2. 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
3 Must be able to look at calendar and manage time - ensuring enough time for documentation
Position is offered by a no fee agency. 
Location : West Pasco 
Applicant Notices & Disclaimers
  • 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: $25.00/hr.

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