LTSS Service Care Manager

Position Title : LTSS Service Care Manager


Work Location : Florida based candidates (All candidates must reside in Jackson/Washington/Holmes County (Region A2. Spanish speaking preferred.)

Will be in the field 80-90% of the time.


Assignment Duration : 6 months (temp to hire)

Shift : 8-5 Mon-Fri

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.

Candidate Requirements

Education/Certification

Required: Requires a Bachelor's degree and 2 - 4 years of related experience. (Bachelors Degree should be within the realm of Healthcare) - Psychology, Sociology, etc.

Field experience would need to be long term to have the team consider someone that does not have a degree within the space they are looking for.

Preferred: n/a

Licensure

Required: Valid driver's license

Preferred: n/a

• Years of experience required

• Disqualifiers

• Best vs. average

• Performance indicators

Must haves:

• 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

Nice to haves:

1. Discharge Planning

1. Working with TruCare which is the software the team uses

Disqualifiers:

• Not having field experience

• Not having previous experience with high caseloads

Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section

• Top 3 must-have hard skills

• Level of experience with each

• Stack-ranked by importance

• Candidate Review & Selection

1

2 years of field case management

2

Technology Savy

3

Must be able to look at calendar and manage time - ensuring enough time for documentation