LTSS Service Care Manager

Position Title: LTSS Service Care Manager Work Location: Florida ( Candidates must reside within the state of Florida - All candidates must reside in region 10- Zip codes to source from 33311, 33308, 33306, 33304, 33309, 33069, 33060, 33062) Assignment Duration: 3 months with intent to convert Work Schedule: 8-5 Mon-Fri Work Arrangement: Remote + Field (80-90% travel) Spanish speaking is preferred Position Summary: 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. ~8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license. ~ Managing a case load for healthcare members with long term care needs. ~ Geriatric long term care ~ Member assessments and notes. ~ Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development. ~ Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact ~ Authorize and coordinate referral for services. ~ Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care. ~ Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services! ~ Assist member with filing and resolving complaints and appeals ~ Working with members in a face-to-face environment ~ This position does have the intent to convert based on performance and eligibility Independent work Candidate Requirements Required: Requires a Bachelor's degree and 2 - 4 years of related experience Preferred: Required: i.e. RN, BSN, LPN, etc. Preferred: 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 ~ 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 2+ years of Care Management experience (field experience is a must) Home Health Experience Experience with electronic medical health records Position is offered by a no fee agency.