|
Position Title: LTSS Service Care Manager
Work Location: Florida (Jackson/Washington/Holmes County)
Assignment Duration: 12 Months (Possibility to extend or convert)
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Remote but requires field work (Will be in the field 80-90% of the time)
Spanish speaking preferred
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:
* 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. Working Conditions & Physical Demands (If Applicable): Will be in the field 80-90% of the time. Monthly and quarterly member contact and will include 80% travel. Will require a driver's license.
| 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
- 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:
- Discharge Planning
- 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
|
|
Spectraforce Technologies
Jan 12, 2026