LTSS Service Care Manager

Position Title: LTSS service care manager

Work Location: Candidates must reside within the state of Florida - Boca Raton, Lake Worth, or West Palm Beach, bilingual english and spanish preferred

Assignment Duration: 12 months

Work Arrangement: Remote with required field work

Position Summary: Stabilizing Long term care workforce, supporting and maintaining compliance as we continue into our new contract requirements effective 2/1/25. We were awarded the entire state for the new state contract.

Background & Context: Opportunity for promoting and growth from within the company. Promotional opportunity who wants to grow within the company and continue to develop even across to other lines of business. We have a diverse team as our membership is diverse. Having a diverse workforce only helps the plan to better serve our members. The interview panel will consist of a diverse panel. Prefer Spanish Speaking. The team has a strong longevity and many of the team have been a part of the team for years.

Key Responsibilities:

• Interacting with members, family members, providers and other departments to ensure member's needs are being met. member/provider requests/issues/concerns
• Visit members in field and return to home office to complete documentation.
• Candidate can build and schedule their meetings throughout the week.

Qualification & Experience:

• Requires a Bachelor's degree and 2 - 4 years of related experience
• Required: Drivers License
• 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
• Prefer experience working with TruCare which is the software the team uses
• Experience in Case Management in senior services, state agencies. Team Player, problem solver, solutions oriented, member centric, Integrity