LTSS Service Care Manager

Davita Inc.; Lehigh Acres (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare company is seeking an LTSS Service Care Manager for a remote role in Lee County. The ideal candidate will manage care for members with long-term needs, conducting assessments and integrating services. Successful applicants will have a Bachelor's degree, relevant healthcare experience, and must be bilingual.

Qualifications

• 2+ years of field Care Management experience.
• Experience managing high case loads (50-70 members).
• Long Term Care Medicaid experience preferred.

Responsibilities

• Manage a case load for healthcare members with long term care needs.
• Conduct member assessments and coordinate care plans.
• Authorize and coordinate referrals for services.

Skills

Care Management

Geriatric Experience

Home Health Experience

Technology Savvy

Bilingual

Education

Bachelor's Degree in Healthcare or Related Field

Job description

Job Title: LTSS Service Care Manager

Job Location: Lee County -Lehigh Acres - Region 8 (member-facing)

Job Duration: 3 months with intent to convert

Spanish is required.



Responsibilities:

• 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.


• 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.

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.	Preferred: n/a
Licensure	Required: Valid driver's license	Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators	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 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	2 years of field case management
2	Technology Savy

Position is offered by a no fee agency.