LTSS Service Care Manager - J01031

Davita Inc.; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare company seeks an LTSS Service Care Manager for a 3-month contract to hire position in Martin County, to assist in coordinating holistic care for long-term members. The ideal candidate will have strong field-based case management experience, specifically with the geriatric population, and must reside within the state of Florida, specifically targeting Martin County. This remote position allows for flexibility while ensuring that members receive effective quality care.

Qualifications

• Requires Bachelor’s degree and 2-4 years of related experience.
• 2+ years of field-based care management experience.
• Comfort with IT troubleshooting and electronic health records.

Responsibilities

• Evaluates member needs and recommends care plans.
• Coordinates care between the member and care provider team.
• Monitors care plans and provides feedback for care improvement.

Skills

Field-based case management

Remote work

Geriatric population experience

Education

Bachelor's degree

Job description

Title: LTSS Service Care Manager

Duration: 3 months (Contract to hire)

Location: Martin County (Zip Codes to source from 34994, 34995, 34996, 34997)

Title: LTSS Service Care Manager

Duration: 3 months (Contract to hire)

Location: Martin County (Zip Codes to source from 34994, 34995, 34996, 34997)

Position Purpose:

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.

Education/Experience:

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

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

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.

Daily Schedule & OT Expectations:

The position will be 8 to 5 with the possibility of participating in a flex work week after being hired on FTI (to be reviewed/approved by leadership based on performance in the role).

Typical Task Breakdown and Rhythm:

Interacting with members, family members, providers and other departments to ensure member's needs are being met, member/provider requests/issues/concerns.

Visit members in field and return to home office to complete documentation.

This role is remote but also requires field work - which allows for a self-made independent role.

They can build and schedule their meetings throughout the week.

Interaction Level with Team:

The team has a strong longevity and many of the team have been a part of the team for years.

This is a remote position working from a home office.

Southern Palm Beach County is the target location.

Location: Candidates must reside within the state of Florida - Specifically looking for a candidate in Martin County - Zip Codes to source from 34994, 34995, 34996, 34997.

Prefer Spanish Speaking.

Education/Certification:

Required: Requires a Bachelor's degree and 2 - 4 years of related experience.

Preferred: n/a

Licensure:

Required: Drivers License

Preferred: n/a

Years of Experience Required:

2+ years of Care Management experience (field experience is a must).

Lack of field-based case management experience.

Inability to manage high caseloads (50, 60, 70 members).

No experience with electronic medical health records.

Documentation not completed within 24 hours.

Best vs. Average:

Best: Experience with field-based case management, remote work, geriatric population, Long Term Care Medicaid experience, Medicaid/Medicare experience, high caseload management, fast-paced environment, comfort with IT troubleshooting, experience with TruCare software, home health experience.

Average: Meets minimum education and experience but lacks preferred skills like TruCare or geriatric focus.

Performance Indicators:

Experience with field-based case management, remote work, average caseload #, home visits, care plan development, experience with type of assessments.

Team player, problem solver, solutions oriented, member centric, integrity.

Top 3 Must-Have Hard Skills:

Field-based case management (2+ years)

Remote work (2+ years)

Experience working with geriatric population (2+ years)