Job Description
Position Title: LTSS Service Care Manager
Work Location: Remote – Candidates must reside within the state of Florida (Boca Raton, Lake Worth, or West Palm Beach)
Assignment Duration: 12 months with possibility of extension (Contract-to-Hire)
Work Schedule: Monday – Friday | 8:00 AM – 5:00 PM
Work Arrangement: Remote with Field Work
Note: Spanish-speaking candidates preferred. This is a field-based role requiring home visits and travel within the assigned territory.
Job Description
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.
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 identifies providers, specialists, and community resources needed for long-term care.
- Coordinates between members, families/caregivers, providers, and healthcare teams to ensure services are accessible.
- Provides resource support to members and their families/caregivers for employment, housing, independent living, justice, foster care, and other community resources.
- Monitors care plans, member status, and outcomes, and updates service plans based on identified needs.
- Interacts with long-term care providers and community partners to ensure member needs are met.
- Collects, documents, and maintains member information and care management activities in compliance with state, federal, and payer requirements.
- Performs home and site visits to assess member needs and collaborate with healthcare providers.
- Educates members and caregivers regarding procedures, healthcare services, referrals, and available benefits.
- Provides feedback to leadership on opportunities to improve quality of care and service delivery.
- Performs other duties as assigned and complies with all policies and standards.
Candidate Requirements
Education/Certification
Required:
- Bachelor's degree.
- 2–4 years of related experience.
Preferred: N/A.
Licensure
Required:
- Valid Driver's License.
Preferred: N/A.
Must-Haves
- 2+ years of Care Management experience (field experience is required).
- Experience managing caseloads of 50–70 members (geriatric population is a plus).
- Long-Term Care Medicaid experience.
- Medicaid/Medicare experience.
- Experience managing high-volume caseloads.
- Ability to work in a fast-paced environment with changing processes and programs.
- Comfortable troubleshooting technology issues and coordinating with IT while working remotely.
- Complete documentation within 24 hours of member visits.
- Experience with Electronic Medical Records (EMR).
- Home Health experience.
Nice-to-Haves
- Experience using TruCare.
- Geriatric case management experience.
- Spanish-speaking candidates preferred.
Disqualifiers
- No field-based care management experience.
- No experience managing high-volume caseloads.
Performance Indicators
- Documentation completed within 24 hours.
- Ability to independently manage field schedules.
- Effective management of assigned caseloads.
- Strong communication with members, caregivers, providers, and internal departments.
- Bilingual candidates preferred when indicated.
Top 3 Must-Have Hard Skills
| Rank | Skill |
|---|---|
| 1 | Field-based Care Management experience |
| 2 | Remote work experience |
| 3 | Experience working with the geriatric population |
Location : Remote-FL
- 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 $27.00/hr - $30.00/hr.