LTSS Service Care Manager

Spectraforce Technologies, Inc.; Jacksonville (FL); Remote; USD 55,000 - 80,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a LTSS Service Care Manager to support Lake County residents with long-term care planning.

The role is remote with 80-90% field work and requires developing personalized care plans and educating members and families on available services. Qualifications include a Bachelor's degree in a healthcare-related field and 2–4 years of care management experience, plus a valid driver’s license.

Qualifications

• Requires a Bachelor's degree in Healthcare (e.g., Psychology, Sociology) and 2–4 years of related experience.
• 2+ years of care management experience (field experience a must).
• Must have valid driver’s license and ability to work in a largely remote setting.

Responsibilities

• Evaluate member needs, resources, and plan the best outcome.
• Develop long-term care plans and coordinate with providers and resources.
• Coordinate between member/family and care team to ensure access to services.

Skills

Field case management

Time management

Tech savy

Education

Bachelor's degree in healthcare

Tools

TruCare

EMR systems

Job description

Position Title: LTSS Service Care Manager

Work Location: Lake County (candidates must reside in Lake County; bilingual Spanish preferred, not required)

Assignment Duration: 12 Months Contract to Hire

Work Schedule: 8-5 Mon-Fri

Work Arrangement: Remote with 80-90% field work (member-facing)

Position Summary: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Key Responsibilities:

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
• Performs other duties as assigned
• Complies with all policies and standards

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 Hard Skills:

• 2 years of field case management
• Technology Savy
• Must be able to look at calendar and manage time - ensuring enough time for documentation