LTSS Service Care Manager

Title: LTSS Service Care Manager

Duration: 12 Months - Possible extension or conversion

Location: Candidates must reside within the state of Florida - Spanish speaking required in one of the following zip codes: 33010, 33147, 33142, 33192, 33182, 33172, 33127, 33125, 33137, 33128, 33194, 33164, 33174, 33144, 33145, 33155, 33165, 33175, 33183, 33133, 33130, 33129

Schedule : Monday - Friday 8 am - 5 pm

Remote Training - 30 days

Involves field-based training where the case managers will get to shadow on their last week (week 5) - hands on experience

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.

Team has anywhere from home and community caseload (home and community based & nursing home)

• Home 60 members
• Mixed would be 60-70 members
• The numbers may fluctuate based on business needs
• This role is remote but also requires field work - while allows for a self-made independent role.

Day to day-

• Remote role. Will require a driver's license.
• Monthly and quarterly member contact and will include 80% travel.
• 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 care plans.
• 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 members with filing and resolving complaints and appeals.

Candidate Requirements

Education/Certification
Required: Requires a Bachelor's degree and 2 - 4 years of related experience

Preferred: n/a

Licensure
Required: n/a
Preferred: n/a

• Years of experience required
• Disqualifiers
• Best vs. average
• Performance indicators

Must have:

Case management (2 years)

Strong Microsoft skills

Nice to have

Bi-lingual or Tri-lingual would be great but must be able to communicate (verbal and written) in English as well. The members will have intakes in English, but should there be any language barriers that is why the team is seeking someone Bi-Lingual.

• Previous LTC or Hospice experience
• Bilingual - Spanish required with strong English skills
• Hialeah to North Miami - preferred. Also 33133, 33130, 33129, 33147

Previous interview feedback from HM on a general level:

1. candidates are lacking in answering questions from the team during the interview
2. Even though the team is seeking bi-lingual candidates - they are noticing that if English is not their first language, they may not be understanding the ask / question
3. The team needs to ensure the CW can provide adequate and sufficient feedback

Assessments to members will be completed in English - but with that they are looking to ensure comprehension

Best vs. average:

Someone with great time management and great communication and written skills to the hiring manager it is very important for this person to be a team player

Someone who is adaptable to change

Training is completed virtually and not everyone is a virtual learner - this person should know and be comfortable with that

• Top 3 must-have hard skills
• Level of experience with each
• Stack-ranked by importance
• Candidate Review & Selection

1

targeted case management is a good background to have

2

Case management is a great background to have

3

Strong Microsoft skills

Position is offered by a no fee agency.