Position Title: LTSS Service Care Manager
Work Location: Florida (must reside in 33010, 33147, 33142, 33192, 33182, 33172, 33127, 33125, 33137, 33128, 33194, 33164, 33174, 33144, 33145, 33155, 33165, 33175, 33183, 33133, 33130, 33129)
Assignment Duration: 12 Months (Possibility to extend or convert)
Work Schedule: Monday – Friday 8 am – 5 pm
Work Arrangement: Remote with field work (80% travel)
Spanish speaking 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:
Role supports Sunshine State Health Plan with home and community-based services, including nursing home caseloads for geriatric long-term care members.

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.
• Must have Case management (2 years)
• Strong Microsoft skills

Education/Certification	Required: Requires a Bachelor's degree and 2 – 4 years of related experience			Preferred: n/a
Licensure	Required: n/a			Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators		Must have: Case management (2 years) Strong Microsoft skills   Nice to have Bi-lingual or Tri-lingual would be great but must be able to communicate (verbal and written) in English as well. The members will have intakes in English, but should there be any language barriers that is why the team is seeking someone Bi-Lingual. Previous LTC or Hospice experience Bilingual – Spanish preferred with strong English skills Hialeah to North Miami – preferred.  Also 33133, 33130, 33129, 33147   Previous interview feedback from HM on a general level: candidates are lacking in answering questions from the team during the interview Even though the team is seeking bi-lingual candidates - they are noticing that if English is not their first language, they may not be understanding the ask / question The team needs to ensure the CW can provide adequate and sufficient feedback Assessments to members will be completed in English - but with that they are looking to ensure comprehension   Best vs. average: Someone with great time management and great communication and written skills to the hiring manager it is very important for this person to be a team player   Someone who is adaptable to change   Training is completed virtually and not everyone is a virtual learner – this person should know and be comfortable with that
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	targeted case management is a good background to have
		2	Case management is a great background to have
		3	Strong Microsoft skills

Position is offered by a no fee agency. 
Location : Remote-FL 
 
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 - $28.00/hr.