Job Description
Position Title: LTSS Service Care Manager
Work Location: Candidates must reside within the state of Florida. All candidates must reside in region H (Broward); Spanish-speaking is preferred. (cities: Ft. Lauderdale, Deerfield Beach, Pompano Beach, Hollywood, or Hallandale). Also zip codes to source from: 33311, 33308, 33306, 33304, 33309, 33069, 33060, 33062, 33064, 33066, 33334, 33325, 33324, 33332, 33029, 33317
Assignment Duration: 3-month Contract-to-hire
Work Schedule: Monday – Friday 8 am – 5 pm
Work Arrangement: Remote with required field travel (3-4 in-person visits per week within assigned region; approximately 80% travel). Valid driver's license required.
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: This role supports long-term care members through The Organization's health plan in Florida. The team manages caseloads of 60-120 members, focusing on building care plans, completing assessments, and coordinating services and community resources for members 21 years and older with long-term care needs.
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:
| Candidate Requirements | ||||
| Education/Certification | Required: Requires a Bachelor's degree and 2 – 4 years of related experience | Preferred: | ||
| Licensure | Required: i.e. RN, BSN, LPN, etc. | Preferred: | ||
| Must haves:
Nice to haves:
Disqualifiers:
| |||
| 1 | 2+ years of Care Management experience (field experience is a must) | ||
| 2 | Home Health Experience | |||
| 3 | Experience with electronic medical health records | |||
Location : Florida
- 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 $25.00/hr - $30.00/hr.