LTSS Service Care Manager
Job Description
Position Title: LTSS Service Care Manager
Work Location: Polk County, FL; Central Tampa (focus zip codes: 33607, 33614, 33617)
Assignment Duration: 3 Months
Work Schedule: 8:00 AM - 5:00 PM, Monday-Friday
Work Arrangement: Remote (Field-Based with 80% Travel)
Position Summary
Managing a case load for healthcare members with long term care needs.
Geriatric long term care.
Key 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 providers 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.
Qualification & Experience
Requires a Bachelor's degree and 2 - 4 years of related experience (degree within Healthcare such as 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.
Valid driver's license required.
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.
Comfortable connecting with IT or traveling to office/IT space if equipment fails.
All documentation must be completed within system within 24 hours.
Experience with electronic medical health records.
Home Health Experience.
Additional Information
Nice to haves: Discharge Planning; Working with TruCare software.
Disqualifiers: Not having field experience; Not having previous experience with high caseloads.
Performance indicator: Bilingual preferred when applicable.
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
3
Must be able to look at calendar and manage time - ensuring enough time for documentation
Position is offered by a no fee agency.