LTSS Service Care Manager

Pyramid Consulting, Inc; Town of Florida (NY); On-site; USD 35,817 - 41,328; Full time

Benefits offered by this job

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave

Mileage reimbursement

Job summary

A leading healthcare provider is seeking an LTSS Service Care Manager in Florida. This role involves managing a caseload of healthcare members with long-term care needs, conducting assessments, and coordinating care plans. Applicants should have a Bachelor's degree, at least 2 years of care management experience, and must be comfortable in a fast-paced environment. The position is contract-to-hire, with benefits including health insurance and mileage reimbursement.

Qualifications

• 2 years of Care Management experience, preferably in field.
• Experience managing high caseloads of members aged 65+.
• Must hold a valid driver's license.

Responsibilities

• Manage a caseload for healthcare members with long-term care needs.
• Conduct member assessments and monitor service delivery.
• Coordinate care plans with providers to prevent service gaps.

Skills

Case Management

Long Term Care

Geriatric

Home Visits

Technology Savvy

Education

Bachelor's Degree

Tools

TruCare Software

Electronic Medical Health Records

Job description

Immediate need for a talented LTSS Service Care Manager. This is a 06 months Contract to Hire opportunity and is located in Hialeah, FL / , Miami, FL / , Aventura, FL (Onsite). Please review the job description below and contact me ASAP if you are interested.

Pay Range: $26 - $30/hour (Mileage reimbursement). Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• 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 providers 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
• Each member must be contacted once per month, and some may need to be seen

Key Requirements and Technology Experience:

• Key Skills; Case Management, Long Term Care, Geriatric , Home Visits
• 2 years of Care Management experience (field experience is a must)
• Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
• Long Term Care Medicaid experience
• Need to see experience being able to manage high case load
• 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 the system within 24 hours of completion
• Experience with electronic medical health records
• Home Health Experience
• 2 years of field case management
• Technology Savy
• Must be able to look at the calendar and manage time - ensuring enough time for documentation
• Working with TruCare which is the software the team uses
• Required: Requires a bachelor’s degree and 2 – 4 years of related experience.
• 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.
• Valid driver's license

Our client is a leading Healthcare industry, and we are currently interviewing to fill this and other similar positions. If you are interested in this position, please apply online for immediate consideration

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.