LTSS Service Care Manager

Spectraforce Technologies

United States, Florida, Tampa

2567 Countryside Blvd (Show on map)

Apr 09, 2025

Title: LTSS Service Care Manager

Location: Clearwater/Largo, FL (Member-facing)

Duration: 3-6 months with intent to convert

"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.

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

Education/Experience:

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

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

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

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

Position is offered by a no fee agency.