LTSS Service Care Manager

Immediate need for a talented LTSS Service Care Manager. This is a 06 months Contract to Hire opportunity and is located in Hialeah, FL / , Miami, FL / , Aventura, FL (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job Diva ID: 26-04026

Pay Range: $26 - $30/hour (Mileage reimbursement) . Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• 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
• Each member must be contacted once per month, and some may need to be seen

Key Requirements and Technology Experience:

• Key Skills; Case Management, Long Term Care, Geriatric , Home Visits
• 2 years of Care Management experience (field experience is a must)
• Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
• Long Term Care Medicaid experience
• Medicaid / Medicare experience
• Need to see experience being able to manage high case load
• Each member must be contacted once per month, and some may need to be seen
• 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 the system within 24 hours of completion
• Experience with electronic medical health records
• Home Health Experience
• 2 years of field case management
• Technology Savy
• Must be able to look at the calendar and manage time - ensuring enough time for documentation
• Discharge planning
• Working with TruCare which is the software the team uses
• Required: Requires a bachelor's degree and 2 – 4 years of related experience.
• 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

Our client is a leading Healthcare industry, and we are currently interviewing to fill this and other similar positions. If you are interested in this position, please apply online for immediate consideration

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