Job Description
Work Location: Hybrid - Candidates must reside within the state of Florida – Preferred areas: 33010 33125 33126 33138 33012 33133 33130 33144
Assignment Duration: 3 Months (Possibility to extend or convert)
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Remote (Member-Facing, in the field 80-90% of the time)
Remote Training - 30 days
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.
Background & Context:
Supports long-term care members through field-based care management in a self-directed environment with team longevity and independent scheduling.
Team has anywhere from home and community caseload (home and community based & nursing home)
- Home 60 members
- Mixed would be 60-70 members
- The numbers may fluctuate based on business needs
They can build and schedule their meetings throughout the week
Key Responsibilities:
- Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license.
- Managing a case load for healthcare members with long-term care needs.
- Geriatric long-term care
- Member assessments and notes.
- Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
- Monitor delivery of services and follow-up with members, caregivers, or provider s through in-person visits and telephonic contact
- Authorize and coordinate referral for services.
- Ensure provider services are delivered without gaps and identify functional deficiencies in care plans.
- Assist in coordinating the development of informal or voluntary services to integrate into the member care plan 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!
- Assist members with filing and resolving complaints and appeals.
- 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.
| Candidate Requirements | ||||
| Education/Certification | Required: Requires a Bachelor's degree and 2 – 4 years of related experience | Preferred: n/a | ||
| Licensure | Required: n/a | Preferred: n/a | ||
| Must have: Case management (2 years) Strong Microsoft skills Nice to have Bi-lingual or Tri-lingual would be great but must be able to communicate (verbal and written) in English as well. The members will have intakes in English, but should there be any language barriers that is why the team is seeking someone Bi-Lingual.
Previous interview feedback from HM on a general level:
Best vs. average: Someone with great time management and great communication and written skills to the hiring manager it is very important for this person to be a team player Someone who is adaptable to change Training is completed virtually and not everyone is a virtual learner – this person should know and be comfortable with that | |||
| 1 | targeted case management is a good background to have | ||
| 2 | Case management is a great background to have | |||
| 3 | Strong Microsoft skills | |||
Location : Remote-FL
- 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: $28.00/hr.