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LTSS Service Care Manager
LTSS Service Care ManagerSpectraforce Technologies • Raleigh, NC, United States
LTSS Service Care Manager

LTSS Service Care Manager

Spectraforce Technologies • Raleigh, NC, United States
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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

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