LTSS Service Care Manager

Position Title : LTSS Service Care Manager (Field-Based)

Work Location : Pinellas / Palm Harbor, Florida

Assignment Duration : 3 months with intent to convert

Work Schedule : 8 : 00 AM - 5 : 00 PM, Monday to Friday

Work Arrangement : Remote role with 80% travel; requires valid driver's license

Position Summary :

Managing a caseload for healthcare members with long-term care needs

Geriatric long-term care

Member assessments and notes

Key Responsibilities :

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 providers 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 members with filing and resolving complaints and appeals.

Qualification & Experience :

Education : Requires a Bachelor's degree and 2-4 years of related experience (Healthcare field preferred-Psychology, Sociology, etc.)

Licensure : Valid driver's license required

Must-Haves :

2+ years of Care Management (field experience required)

Experience with caseloads of 50-70 members (geriatric preferred)

Long Term Care Medicaid and Medicare experience

EMR documentation within 24 hours

Home Health experience

Technologically adept; able to troubleshoot field IT issues

Works efficiently in fast-paced, process-changing environment

Nice-to-Haves : Discharge planning

TruCare software experience

Disqualifiers : No field experience

No experience handling high caseloads

Candidate Requirements

Required : Requires a Bachelor's degree and 2 - 4 years of related experience. (Bachelors 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.

Preferred : n / a

Required : Valid driver's license

Preferred : n / a

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

Must haves :

Nice to haves :

Disqualifiers : No field experience

Performance indicators : Bilingual always preferred - req will indicate if Bilingual is required via the notes section

2 years of field case management

Technology Savy

Must be able to look at calendar and manage time - ensuring enough time for documentation

Position is offered by a no fee agency.