Clinical - LTSS Service Care Manager

Immediate need for a talented Clinical - LTSS Service Care Manager. This is a 06+months contract opportunity with long-term potential and is located in Palm Beach County, FL(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-32447

Pay Range: $30/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Conduct monthly and quarterly member assessments, collaborating with caregivers and providers to gather essential information for care plan development.
• Monitor service delivery and follow up with members through in-person visits and telephonic contact.
• Authorize and coordinate referrals for services, ensuring continuity of care without gaps.
• Assist members with filing and resolving complaints and appeals, advocating for their needs.
• Collaborate with discharge planners, physicians, and other stakeholders to develop comprehensive care plans.

Key Requirements and Technology Experience:

• 2+ years of Care Management experience, specifically in a field setting.
• Experience managing caseloads of 50-70 members, preferably in geriatric long-term care.
• Familiarity with Medicaid and Medicare processes.
• Proven ability to work in a fast-paced environment and adapt to new processes and programs.
• Valid Driver’s License is required.
• Experience with electronic medical health records and home health services.
• Experience in discharge planning.
• Familiarity with TruCare software.
• Strong technology skills and time management abilities.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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