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LTSS Service Care Manager
Spectraforce
Naples, Florida
Remote

5 days ago

Job Description

Title: LTSS Service Care Manager
Location: Florida Remote - Collier County- Naples
Duration: 12 Months - Potential to extend or convert FT

Bilingual/Spanish speaking required
Work Arrangement: Hybrid (Remote with Member-Facing, in the field 80% 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.  (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 : Naples, FL 
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: $27.00/hr.

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