LTSS Service Care Manager

Spectraforce Technologies; Miami (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 remote role involves managing a caseload, conducting assessments, and coordinating services while ensuring seamless care delivery. With a focus on member support and collaboration with healthcare providers, this position offers a chance to make a significant impact in the lives of individuals requiring specialized care. Ideal candidates will have a background in care management and a passion for helping others. If you are driven and ready to contribute to meaningful outcomes, this opportunity is for you.

Qualifications

• 2+ years of Care Management experience required.
• Bachelor's degree and related experience necessary.

Responsibilities

• Managing a caseload for healthcare members with long-term care needs.
• Conducting member assessments and monitoring service delivery.

Skills

Care Management

Long-term care experience

Electronic medical health records

Microsoft Office proficiency

Bilingual (Spanish)

Education

Bachelor's degree

2-4 years of related experience

Tools

Electronic medical health records

Microsoft Office

Job description

Title: LTSS Service Care Manager

Location: Region - 10 Broward County - member facing

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:

1. Managing a caseload for healthcare members with long-term care needs.
2. Monthly and quarterly member contact, including 80% travel. Remote role. Driver's license required.
3. Conducting member assessments and documenting notes.
4. Completing assessments with members, caregivers, or providers to gather information for care plan development.
5. Monitoring service delivery and following up with members, caregivers, or providers through visits and calls.
6. Authorizing and coordinating referrals for services.
7. Ensuring provider services are delivered without gaps and identifying deficiencies in care plans.
8. Assisting in developing informal or voluntary services to support the member’s care plan, collaborating with discharge planners, physicians, and others to ensure proper discharge and care planning.
9. Assisting members with filing and resolving complaints and appeals.

Internal/External Groups with which the Candidate will interface:

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 (Spanish) preferred

Education Requirement:

Bachelor's degree and 2-4 years of related experience.

Software Skills Required:

Microsoft Office, Experience with electronic medical health records

Required Certifications:

Valid driver's license