LTSS Service Care Manager

Spectraforce Technologies; Orlando (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated LTSS Service Care Manager to oversee the care of members in need of long-term services and supports. This role involves significant fieldwork, with 80-90% of time spent traveling to meet with members and assess their needs. You'll be responsible for managing a high caseload, ensuring that services are delivered effectively, and collaborating with healthcare professionals to develop comprehensive care plans. If you have a passion for helping others and possess the necessary experience in care management, this opportunity could be your next great career move.

Qualifications

• 2+ years of Care Management experience with a focus on fieldwork.
• Experience managing high caseloads of elderly members.

Responsibilities

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

Skills

Care Management

Home Health Experience

Long Term Care Medicaid Experience

Medicaid / Medicare Experience

Electronic Medical Health Records

Education

Bachelor's Degree in Healthcare

Job description

Title: LTSS Service Care Manager

Location: Florida - Orange County - it is region 7 (must be able to cover the entire region) will primarily be supporting Orange and Seminole (no candidates from East Orlando). Will be in the field 80-90% of the time.

Duration: 06 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM



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!

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

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

Position is offered by a no fee agency.