LTSS Service Care Manager

Spectraforce Technologies, Inc.; Tampa (FL); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Spectraforce Technologies, Inc. is seeking a LTSS Service Care Manager to support long-term care members. The role is field-based (80-90% in the field) with a remote administrative component, and requires residence in the Florida area.

Responsibilities include coordinating care plans, evaluating member needs, and educating families about available services and benefits. A bachelor’s degree and healthcare experience are required, with Spanish language proficiency strongly preferred.

Qualifications

• Requires a Bachelor's degree and 2-4 years of related experience in healthcare.
• Field experience in long-term care preferred.
• Medicaid/Medicare experience is desirable.
• Must hold a valid driver's license.
• Able to adapt in a fast-paced environment and coordinate with IT in the field.

Responsibilities

• Assess member needs and coordinate holistic care management plans.
• Develop or assist with long-term care plans and identify providers.
• Communicate with family/caregivers to ensure service access.
• Monitor plans, track outcomes, and adjust as needed.
• Interact with care providers and partners to fulfill member needs.
• Document and maintain member information per regulatory requirements.
• Perform home or field visits and educate members on care options.
• Provide feedback to leadership on care quality improvements.

Skills

Bilingual Spanish

Education

Bachelor's degree in Healthcare or related field

Tools

TruCare

Electronic Health Records (EHR)

Job description

Position Title: LTSS Service Care Manager

Work Location: Hillsborough County / Tampa, Florida (Florida-based candidates only)

Assignment Duration: 12 Months (possibility to extend or convert)

Work Schedule: 8-5 Monday-Friday

Work Arrangement: Field-based (80-90% in the field); remote administrative component; must reside in specified Florida area

bilingual Spanish required

Position Summary

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

Key Responsibilities

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
• Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
• Performs other duties as assigned
• Complies with all policies and standards

Qualification & Experience

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

• 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

1. Discharge Planning
2. 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

Position is offered by a no fee agency.