Position Title : LTSS Service Care Manager
Work Location : PINELLAS COUNTY- 1 FOR CLEARWATER; 1 FOR PINELLAS PARK- TARGETED ZIP CODE(S) : 33709)
Assignment Duration : 3 months with intent to convert.
Work Schedule : 8-5 Mon-Fri
Responsibilities :
- 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
- 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
Candidate Requirements
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.
Preferred : n / a
Licensure
Required : Valid driver's license
Preferred : n / a
Years of experience requiredDisqualifiersBest vs. averagePerformance indicatorsMust haves :
2+ years of Care Management experience (field experience is a must)Caseloads of 50,60,70 members - bonus if it is geriatricLong Term Care Medicaid experienceMedicaid / Medicare experienceNeed to see experience being able to manage high case loadFast paced environment regarding new processes and programsThey 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 completionExperience with electronic medical health recordsHome Health ExperienceNice to haves :
Discharge PlanningWorking with TruCare which is the software the team usesDisqualifiers :
Not having field experienceNot having previous experience with high caseloadsPerformance indicators : Bilingual always preferred - req will indicate if Bilingual is required via the notes section
Top 3 must-have hard skillsLevel of experience with eachStack-ranked by importanceCandidate Review & Selection2 years of field case management
Technology Savy
Must be able to look at calendar and manage time - ensuring enough time for documentation
Position is offered by a no fee agency.