Job Description
Position Title: LTSS Service Care Manager
Work Location: Florida - Pinellas County (All candidates must reside in Pinellas- Spanish speaking is preferred)
Assignment Duration: 12 months (Possible extension OR conversion)
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Field-based / Member-facing (80-90% )
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: Sunshine State Health Plan role focused on geriatric long-term care with significant field work.
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
Qualification & Experience:
• Requires a Bachelor's degree and 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
• Valid driver's license required.
• For specific states, additional requirements apply (e.g., RN or LCSW in some plans).
Working Conditions & Physical Demands: Will be in the field 80-90% of the time. 8-5 Mon-Fri. Requires driver's license and comfort with member-facing field work and travel.
| Candidate Requirements | ||||
| 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 | |||
| Required: Valid driver's license | Preferred: n/a | |||
| Must haves:
Nice to haves:
Performance indicators: Bilingual always preferred – req will indicate if Bilingual is required via the notes section | |||
| 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 | |||
- 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 pay range is $26.00/hr - $29.00/hr.