Position Title : LTSS Service Care Manager
Work Location : Ft. Myers / Lee County
Assignment Duration : 03 months
Work Schedule : 8-5 Mon-Fri
Work Arrangement : Remote (Member-Facing)
Will require a driver's license
Spanish speaking preferred
Position Summary :
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans / service plans for long-term care members and educates members and their families / caregivers on services and benefits available to meet member needs.
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.
- For Florida LTSS ECC, must have 2 years of youth / young adult experience required
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