LTSS Service Care Manager

Spectraforce Technologies; Alford (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated LTSS Service Care Manager to oversee healthcare members with long-term care needs. This role involves managing a caseload, conducting assessments, and ensuring seamless service delivery. With a focus on collaboration with healthcare providers and caregivers, the position requires strong organizational skills and a passion for helping others. The ideal candidate will thrive in a dynamic environment, balancing in-person visits and telephonic contacts while ensuring quality care for members. If you're looking to make a meaningful impact in healthcare, this opportunity is for you.

Qualifications

• 2+ years of Care Management experience with a focus on long-term care.
• Experience managing high caseloads and documentation within 24 hours.

Responsibilities

• Manage a caseload for healthcare members with long-term care needs.
• Conduct assessments and coordinate care plans with various stakeholders.

Skills

Care Management

Long-term care

Electronic medical health records

Microsoft Office proficiency

Bilingual (Spanish)

Education

Bachelor's degree in healthcare

Additional relevant education or certifications

Tools

Microsoft Office

Electronic medical health records

Job description

Title: LTSS Service Care Manager

Location: All candidates must reside in region 2 - must reside within Bay County

Duration: 06 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM

Job Description:

Day-to-Day Responsibilities of this Position and Description of Project:

• 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
• Managing a caseload 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 providers through in-person visits and telephonic contact.
• Authorize and coordinate referrals 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 and long-term care services.
• Assist members with filing and resolving complaints and appeals.

Internal/External Groups with which the Candidate will interface:

Details not specified.

Required Skills/Experience:

1. 2+ years of Care Management experience
2. Long-term care experience
3. Experience with electronic medical health records

Preferred Skills/Experience:

1. Home health
2. Discharge planning
3. Microsoft Office proficiency
4. Bilingual (Spanish)

Education Requirements:

Required: Bachelor's degree within healthcare (e.g., Psychology, Sociology) and 2-4 years of related experience. Field experience must be long-term to be considered without a degree in the relevant field.

Preferred: Additional relevant education or certifications.

Software Skills Required:

Microsoft Office, experience with electronic medical health records

Required Certifications:

Valid driver's license

Must Haves:

• 2+ years of Care Management field experience
• Caseloads of 50-70 members aged 65 and above
• Long-term care Medicaid experience
• Medicaid/Medicare experience
• Ability to manage high caseloads
• Monthly contact with each member, some may require in-person visits
• Comfort with IT equipment and systems
• Documentation within 24 hours of contact
• Experience with electronic medical health records
• Home Health experience