LTSS Service Care Manager

Position Title: LTSS Service Care Manager Work Location: Florida based candidates (Collier County); Spanish fluency required. In the field 80-90% of the time. Assignment Duration: 3 months with conversion to FTE Work Schedule: 8-5 Mon-Fri Work Arrangement: Field-based (80-90% travel / member-facing); remote administrative component; requires valid driver's license 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. Bachelor's 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. Valid driver's license required 2+ years of Care Management experience (field experience is a must) Experience with caseloads of 50, 60, 70 members - bonus if geriatric Long Term Care Medicaid experience Medicaid / Medicare experience Ability to manage high case load in a fast-paced environment regarding new processes and programs Comfortable connecting with IT should equipment fail in the field or able to go into an office/IT space All documentation must be within system within 24 hours of completion Experience with electronic medical health records Home Health Experience preferred Discharge Planning and TruCare experience are nice-to-haves Working Conditions & Physical Demands (If Applicable) 80-90% field / travel work; monthly and quarterly member contact; home and site visits required Member-facing field role #J-18808-Ljbffr