Position Title: LTSS Service Care Manager
Work Location: Field-based region 6- Hillsborough county- Tampa- zipcodes preferred 33604,33624, 33614
Assignment Duration: 3 months with intent to convert
Work Schedule: 8-5 Mon-Fri
Work Arrangement: Remote role with 80-90% field travel
*bi lingual required*
Position Summary:
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost?effective healthcare outcomes.
Key Responsibilities:
Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
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
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
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
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long?term care healthcare providers and partners as appropriate to ensure member needs are met
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
May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners
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
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
Performs other duties as assigned
Complies with all policies and standards
Qualification & Experience:
Requires a Bachelor's degree and 2 - 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Must haves: 2+ years Care Management experience (field), caseload 50?70, LTC Medicaid experience, Medicaid/Medicare, tech savvy, documentation within 24h, EMR, home health
Nice to haves: Discharge Planning, TruCare software
Disqualifiers: Not having field experience or high caseload experience
Position is offered by a no fee agency.
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