LTSS Case Manager: Person-Centered Care & Coordination

Jobtailor; Sebring (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

Jobtailor seeks a skilled Care Coordination Specialist to manage a defined caseload within specialized programs. You will coordinate assessments, document Person Centered Plans, and maintain close collaboration with medical directors and an interdisciplinary team to create integrated care strategies in alignment with member goals.

Required BA/BS and at least two years in social work or LTSS settings; English/Spanish bilingual preferred.

Qualifications

• Requires BA/BS degree.
• Minimum 2 years of experience with a social work agency.
• Any combination of education and experience providing equivalent background.
• Specific education, years, and type of experience may be required under state law.
• Bilingual in English/Spanish strongly preferred.
• LTSS, case management, social work or hospital discharge planning experience preferred.

Responsibilities

• Conduct service coordination for a defined caseload.
• Facilitate Person Centered Planning documenting member goals and preferences.
• Conduct assessments and develop a comprehensive PCSP and backup plan.
• Interface with Medical Directors and participate in interdisciplinary care rounds to support an integrated care plan.
• Engage the member’s circle of support and manage physical/behavioral health and LTSS needs.
• Perform face-to-face program assessments for identification.
• Apply motivational interviewing techniques for evaluations and coordination.
• Coordinate cases with clinical health care management and interdisciplinary team.
• Manage non-clinical needs of members with chronic illnesses or disabilities.
• Assist in appeals, grievances, state audits, and fair hearings.

Skills

Person Centered Planning

Case Management

Motivational Interviewing

Interdisciplinary Team Collaboration

Bilingual English/Spanish

Education

BA/BS Degree

Job description

Jobtailor seeks a skilled Care Coordination Specialist to manage a defined caseload within specialized programs. You will coordinate assessments, document Person Centered Plans, and maintain close collaboration with medical directors and an interdisciplinary team to create integrated care strategies in alignment with member goals.

Required BA/BS and at least two years in social work or LTSS settings; English/Spanish bilingual preferred.