LTSS Service Care Manager

Spectraforce Technologies; Largo (FL); Remote; USD 45,000 - 70,000; 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 coordinating services while ensuring timely delivery of provider services. The position requires strong care management skills, proficiency in electronic medical records, and a commitment to member care. With a focus on collaboration and service coordination, this opportunity offers a chance to make a meaningful impact in the lives of those in need. Join a forward-thinking organization that values your expertise and dedication.

Qualifications

• 2+ years of Care Management experience required.
• Bachelor's degree with related experience preferred.

Responsibilities

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

Skills

Care Management

Long-term Care

Electronic Medical Records

Microsoft Office

Bilingual in Spanish

Education

Bachelor's Degree

Additional Certifications

Tools

Microsoft Office

Electronic Medical Records

Job description

Title: LTSS Service Care Manager

Location: Region 5 - Pinellas and Pasco

Duration: 06 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM

Job Description:

Day-to-day responsibilities of this position include managing a caseload for healthcare members with long-term care needs. The role involves monthly and quarterly member contact, requiring 80% travel; it is a remote role and requires a valid driver's license.

• Conduct member assessments and document notes.
• Complete assessments with members, caregivers, or providers to gather information regarding client status, support systems, and service needs for care plan development.
• Monitor service delivery and follow up with members, caregivers, or providers through in-person visits and phone contacts.
• Authorize and coordinate referrals for services.
• Ensure timely delivery of provider services, identify functional deficiencies in care plans.
• Assist in coordinating informal or voluntary services into the member’s care plan. Collaborate with discharge planners, physicians, and others to ensure appropriate discharge and care planning, as well as coordination of acute and long-term care services.
• Assist members with filing and resolving complaints and appeals.

Internal/External Groups:

Candidate will interface with various internal and external groups involved in member care and service coordination.

Required Skills/Experience:

1. 2+ years of Care Management experience
2. Experience with long-term care
3. Experience with electronic medical health records
4. Proficiency in Microsoft Office
5. Bilingual in Spanish is preferred

Education Requirements:

Bachelor's degree with 2-4 years of related experience required. Education preferred includes additional certifications or relevant coursework.

Software Skills Required:

Microsoft Office, Experience with electronic medical health records

Required Certifications:

Valid driver's license

Position is offered by a no-fee agency.