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LTSS Service Care Manager
Spectraforce
US
Remote

a month ago

Job Description

Position Title: LTSS Service Care Manager
Work Location: Candidates must reside within the state of Florida – Boca Raton, Lake Worth, or West Palm Beach
Assignment Duration: 12 Months Contract to Hire
Work Arrangement: Remote with required field work (home visits), Spanish preferred

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.

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: n/a
Licensure Required: Drivers License Preferred: n/a
  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators
experience with field based case management, remote work, Average CL #, home visits, care plan development, experience with  type of assessments.
  • 2+ years of Care Management experience (field experience is a must)
  • Caseloads of 50,60,70 members – bonus if it is geriatric
  • Long Term Care Medicaid experience
  • Medicaid / Medicare experience
  • Need to see experience being able to manage high case load
  • Fast paced environment regarding new processes and programs
  • They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.
  • All documentation must be within system within 24 hours of completion
  • Experience with electronic medical health records
  • Home Health Experience
 
Prefer experience working with TruCare which is the software the team uses
 
 
Experience in Case Management in senior services, state agencies. Team Player, problem solver, solutions oriented, member centric, Integrity
 
  • Top 3 must-have hard skills
  • Level of experience with each
  • Stack-ranked by importance
  • Candidate Review & Selection
1 Field based case management
2 Remote work
3 Experience working with geriatric population
Position is offered by a no fee agency. 
Location : Florida 
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 pay range is $25.00/hr - $30.00/hr.

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