LTSS Service Care Manager

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Mar 12, 2025

Title: LTSS Service Care Manager

Duration: 06 Months with intent to convert FTE

Location: Remote - Tampa, FL (Member Facing)

Monthly and quarterly member contact and will include 80% travel.

Will require a driver's license.

Bilingual Spanish Preferred;

Responsibilities::

Managing a case load for healthcare members with long term care needs.
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

Candidate Requirements
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 Disqualifiers	Must haves: 2+ years of Care Management experience Members are going to be 21+ but most are geriatric patients Long Term Care Medicaid experience Medicaid / Medicare experience Team has a caseload of 50-100 members based on the population in which they live 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 system within 24 hours of completion Experience with electronic medical health records Home Health Experience Nice to haves: Discharge Planning Microsoft Office Disqualifiers: Not meeting the 2+ years of experience required Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section
Top 3 must-have hard skills	1	2+ years of Care Management experience
2	Previous Field Experience
3	FL TAMPA Based Canandiates only Bilingual Spanish Preferred