LTSS Service Care Manager

Position Title: LTSS Service Care Manager Work Location: Candidates must reside within the state of Florida – Region H (specific zip codes: 33311, 33308, 33306, 33304, 33309, 33069, 33060, 33062, 33064, 33066, 33334, 33325, 33324, 33332, 33029, 33317). Spanish speaking preferred. Assignment Duration: 3 months (Contract to Hire) Work Schedule: Monday – Friday 8 am – 5 pm Work Arrangement: Field-based with significant travel (3-4 days/week within region). 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: • 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 2+ years of Care Management experience (field experience is a must). • Home Health Experience. • Long Term Care Medicaid experience. • Medicaid / Medicare experience. • Experience managing high caseloads (50-120 members, geriatric focus). • Experience with electronic medical health records. Candidate Requirements Required: Requires a Bachelor's degree and 2 – 4 years of related experience Preferred: Required: i.e. RN, BSN, LPN, etc. Preferred: Years of experience required Disqualifiers Best vs. average Performance indicators Must haves: 2+ years of Care Management experience (field experience is a must) Home Health Experience Long Term Care Medicaid experience Medicaid / Medicare experience Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience Experience with electronic medical health records Nice to haves: Team has noticed that people that perform well in this role are those that have case management experience Field based experience with managing a caseload similar to the one noted for this team (60-120 members) Individuals with previous DFPS experience Disqualifiers: Having telephonic customer service calls is not what the team is seeking in regard to case management. They are really seeking someone with in the field case management experience Not having field experience Not having previous experience with high caseloads Not at least meeting 40 WPM on typing test Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection 1 2+ years of Care Management experience (field experience is a must) 2 Home Health Experience 3 Experience with electronic medical health records 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.