Title: LTSS Service Care Manager
Location: Region 9 - Indian River, Martin, Okeechobee, Palm Beach and St. Lucie
Duration: 06 Months (Potential to extend)
Shift: 8:00 AM - 5:00 PM
Position Purpose:
- 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.
- "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
Responsibilities:
- 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
Must Haves:
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
| 1 |
Field-based case management |
| 2 |
Remote work |
| 3 |
Experience working with the geriatric population |
| 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 |
Position is offered by a no fee agency.
|
Spectraforce Technologies
remote work
Apr 29, 2025