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LTSS Service Care Manager
Spectraforce
US
Remote

14 hours ago

Job Description

Position Title: LTSS Service Care Manager
Work Location: Candidates must reside within the state of Florida – Spanish speaking preferred in one of the following zip codes: 33156, 33157, 33158, 33189, 33142, 33166, 33172, 33126, 33125, 33145, 33155, 33144, 33147, 33192, 33141, 33139, 33154, 33140
Assignment Duration: 3 months with intent to convert
Work Schedule: Monday – Friday 8 am – 5 pm
Work Arrangement: Remote with significant field work (approximately 80% travel)

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: Role supports long-term care members in home and community-based settings or nursing homes for our organization’s health plan.

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.
• Case management (2 years) required. • Strong Microsoft skills required.

Working Conditions & Physical Demands (If Applicable): Remote training (30 days) with field-based training in final week. Role involves 80% travel/field work, member visits (in-person and telephonic), valid driver’s license required. Monthly and quarterly member contact.

Additional Information (If Applicable): Contract to Hire possibility based on performance. WPM (40 minimum) to be included on resume. Fingerprinting required.

Position is offered by a no fee agency. 
Location : Remote-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: $25.00/hr.

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