LTSS Service Care Manager

Position Title : LTSS Service Care Manager

Work Location : Polk County / Haines City area (Spanish Speaking Preferred)

Assignment Duration : 3 months with intent to convert

Work Schedule : 8-5 Mon-Fri

Work Arrangement : Remote role, 80% travel, requires a driver's license

Position Summary

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.

Qualification & Experience

Education / Certification 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.

Licensure Required : Valid driver's license

Must haves :

2+ years of Care Management experience (field experience is a must)

Caseloads of 50,60,70 members - bonus if it is geriatric

Long Term Care Medicaid experience

Medicaid / Medicare experience

Need to see experience being able to manage high case load

Fast paced environment regarding new processes and programs

They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.

All documentation must be within system within 24 hours of completion

Experience with electronic medical health records

Home Health Experience

Nice to haves : Discharge Planning

Working with TruCare which is the software the team uses

Disqualifiers :

Not having field experience

Not having previous experience with high caseloads

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

Top 3 must-have hard skills

2 years of field case management

Technology Savy

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

Candidate Requirements

Education / Certification

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

Licensure

Required : Valid driver's license

Preferred : n / a

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

Must haves :

Nice to haves : Discharge Planning

Disqualifiers :

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.