Position Title: LTSS Service Care Manager
Work Location: Hybrid - Candidates must reside in Florida - West Palm Beach
Assignment Duration: 12 Months (Possibility to extend or convert FT)
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Remote (Member-Facing, in the field 80-90% of the time)
Remote Training - 30 days
Spanish speaking preferred

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: Drivers License			Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators		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
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	Field based case management
		2	Remote work
		3	Experience working with geriatric population

Position is offered by a no fee agency. 
Location : Remote-FL 
 
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.