LTSS Service Care Manager
Sarasota , FL
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Job Description
Title: LTSS Service Care Manager
Location: region 8- Sarasota City- prefer zipcode 34232
bi lingual required
Duration: 3 months with intent to convert
Shift: 8-5 Mon-Fri
Job Description:
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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
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Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
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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
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Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
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Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
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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
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May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
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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
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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
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Performs other duties as assigned
Qualification & Experience:
Required:
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Bachelor's degree (in Psychology, Sociology, or other Healthcare-related fields)
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2-4 years of related experience
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Valid driver's license
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2+ years of field care management experience
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Experience with long-term care Medicaid
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Experience with Medicare/Medicaid
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Experience managing high caseloads (50-70+)
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Experience in fast-paced environments
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Must document all work within 24 hours in EMR
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Comfortable with basic IT troubleshooting or onsite support
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EMR experience
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Home Health experience
Preferred:
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Experience with TruCare software
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Discharge planning experience
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Bilingual
Disqualifiers:
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No field experience
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No experience with high caseloads
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
• 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
• Top 3 must-have hard skills
• Level of experience with each
• Stack-ranked by importance
• Candidate Review & Selection
1
2 years of field case management
2
Technology Savy
Position is offered by a no fee agency.
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
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Job Summary
Company
Spectraforce Technologies
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
2 to 4 years