Job Title: LTSS Service Care Manager
Job Location: All candidates must reside in region 8 Sarasota County. Spanish speaking preferred
Job Duration: 6 Months
Shift: 8-5 Mon-Fri
Job Description
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 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.
Working with members in a face-to-face environment
This position does have the intent to convert based on performance and eligibility
Independent work
Each member must be contacted once per month, and some may need to be seen
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.
Licensure
Required: Valid driver's license
Experience and Qualifications
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 have
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
Must-Have Hard Skills
Top 3 must-have hard skills with levels of experience and importance
Candidate Review & Selection
2 years of field case management
Technology Savy
Must be able to look at calendar and manage time - ensuring enough time for documentation