LTSS Service Care Manager

Spectraforce Technologies, Inc.; Orlando (FL); Hybrid; USD 52,000 - 78,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a LTSS Service Care Manager in Florida to manage long-term care caseloads. The role involves 80% travel, in-person and remote visits, and strict timely documentation in EMR systems.

The position requires a healthcare-focused bachelor’s degree, 2+ years of field case management, and a valid driver’s license. You will collaborate with discharge planners and physicians to optimize care plans and outcomes.

Qualifications

• Bachelor’s degree in healthcare or related field.
• 2+ years of field case management experience.
• Valid driver's license and ability to travel regularly.
• Experience with Medicaid/Medicare and long-term care.

Responsibilities

• Manage a caseload for healthcare members with long-term care needs.
• Perform member assessments and document notes.
• Coordinate referrals for services and monitor delivery of care.
• Travel up to 80% with in-person visits and telephonic contact.
• Collaborate with discharge planners, physicians, and other parties.
• Ensure documentation is completed in the EMR within 24 hours.
• Assist in coordinating informal or voluntary services for care plans.

Skills

Care management

Field experience

Time management

Documentation

Education

Bachelor's degree in healthcare

Tools

EMR systems

Job description

Position Title:

LTSS Service Care Manager

Work Location:

Florida - Orange County - it is region E

Assignment Duration:

3 months with intent to convert

Work Schedule:

8-5 Mon-Fri

Work Arrangement:

1-2 days remote, 3-4 days home visits

Responsibilities:

• 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
• Working with members in a face‑to‑face environment
• This position does have the intent to convert based on performance and eligibility
• Independent work
• Each member must be contacted once per month, and some may need to be seen
• 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

Candidate Requirements

Required: Requires a Bachelor's degree and 2 (case management experience) - 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.

Required: Valid driver's license

• Years of experience required
• Disqualifiers
• Best vs. average
• Performance indicators

Must haves:

• 2+ years of Care Management experience (field experience is a must)
• Home Health Experience
• Long Term Care Medicaid experience
• Medicaid / Medicare experience
• Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
• Experience with electronic medical health records

Nice to haves:

1. Discharge Planning

Disqualifiers:

• Not having field experience
• Not having previous experience with high caseloads
• Not at least meeting 40 WPM on typing test

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
• 3 Must be able to look at calendar and manage time - ensuring enough time for documentation