Position Overview
Position Title: LTSS Service Care Manager
Work Location: Leon and Jackson County area
Assignment Duration: 3 months with intent to convert
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Remote role. Will require a driver's license.
Position Summary
Monthly and quarterly member contact and will include 80% travel.
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 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.
Candidate Requirements
Education/Certification
Required: Bachelor's degree and 2-4 years of related experience. (Bachelor's within healthcare such as Psychology, Sociology, etc.)
Preferred: none.
Licensure
Required: Valid driver's license.
Preferred: none.
Must Haves
2+ years of Care Management experience (field experience is a must).
Caseloads of 50-70 members; bonus if geriatric.
Long Term Care Medicaid experience.
Medicaid / Medicare experience.
Ability to manage high case load.
Fast paced environment handling new processes and programs.
Comfortable connecting with IT for equipment failures or accessing office/IT space.
All documentation must be entered into the system within 24 hours of completion.
Experience with electronic medical health records.
Home Health experience.
Nice to Haves
Discharge Planning.
Experience with TruCare software.
Disqualifiers
Not having field experience.
Not having previous experience with high caseloads.
Performance Indicators
Bilingual always preferred. Requirement will be indicated in the notes.
Additional Information
Position is offered by a no-fee agency.