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LTSS Service Care Manager

Spectraforce Technologies
United States, Florida, Alford
Apr 29, 2025
Title: LTSS Service Care Manager

Location:
All candidates must reside in region 2 - must reside within Bay County

Duration: 06 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM


Job Description:

Day-to-Day Responsibilities of this Position and Description of Project:


  • 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
  • Managing a case load for healthcare members with long term care needs.
  • Geriatric long term care
  • 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


Internal/External Groups with which the Candidate will interface:
Required Skills/Experience: Preferred Skills/ Experience:
1. 2+ years of Care Management experience 1. Home health
Long term care 2. Discharge planning
2. Experience with electronic medical health records 3. Microsoft office
3. Bilingual (Spanish) Microsoft office 4.
Education Requirement: 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
Education Preferred:
Software Skills Required: Microsoft office, Experience with electronic medical health records
Required Certifications: Valid driver's license Required Testing:


Must haves:

  • 2+ years of Care Management experience (field experience is a must)
  • Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
  • Long Term Care Medicaid experience
  • Medicaid / Medicare experience
  • 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 HealthExperience


Position is offered by a no fee agency.
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