LTSS Service Care Manager

Title: LTSS Service Care Manager

Duration: 3 months (Contract to hire)

Location: Martin County (Zip Codes to source from 34994, 34995, 34996, 34997)

Position Purpose:

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.

Education/Experience:

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  Requires a Bachelor's degree and 2 - 4 years of related experience.

  
  
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  Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

  
  

Responsibilities:

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  Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome.

  
  
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  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.

  
  
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  Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.

  
  
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  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.

  
  
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  Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs.

  
  
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  Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met.

  
  
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  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.

  
  
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  May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners.

  
  
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  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.

  
  
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  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.

  
  
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  Performs other duties as assigned.

  
  
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  Complies with all policies and standards.

  
  

Daily Schedule & OT Expectations:

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  The position will be 8 to 5 with the possibility of participating in a flex work week after being hired on FTI (to be reviewed/approved by leadership based on performance in the role).

  
  

Typical Task Breakdown and Rhythm:

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  Interacting with members, family members, providers and other departments to ensure member's needs are being met, member/provider requests/issues/concerns.

  
  
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  Visit members in field and return to home office to complete documentation.

  
  
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  This role is remote but also requires field work - which allows for a self-made independent role.

  
  
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  They can build and schedule their meetings throughout the week.

  
  

Interaction Level with Team:

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  The team has a strong longevity and many of the team have been a part of the team for years.

  
  

Work Environment Description:

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  This is a remote position working from a home office.

  
  
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  Southern Palm Beach County is the target location.

  
  
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  Location: Candidates must reside within the state of Florida - Specifically looking for a candidate in Martin County - Zip Codes to source from 34994, 34995, 34996, 34997.

  
  
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  Prefer Spanish Speaking.

  
  

Education/Certification:

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  Required: Requires a Bachelor's degree and 2 - 4 years of related experience.

  
  
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  Preferred: n/a

  
  

Licensure:

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  Required: Drivers License

  
  
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  Preferred: n/a

  
  

Years of Experience Required:

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  2+ years of Care Management experience (field experience is a must).

  
  

Disqualifiers:

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  Lack of field-based case management experience.

  
  
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  Inability to manage high caseloads (50, 60, 70 members).

  
  
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  No experience with electronic medical health records.

  
  
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  Documentation not completed within 24 hours.

  
  

Best vs. Average:

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  Best: Experience with field-based case management, remote work, geriatric population, Long Term Care Medicaid experience, Medicaid/Medicare experience, high caseload management, fast-paced environment, comfort with IT troubleshooting, experience with TruCare software, home health experience.

  
  
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  Average: Meets minimum education and experience but lacks preferred skills like TruCare or geriatric focus.

  
  

Performance Indicators:

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  Experience with field-based case management, remote work, average caseload #, home visits, care plan development, experience with type of assessments.

  
  
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  Team player, problem solver, solutions oriented, member centric, integrity.

  
  

Top 3 Must-Have Hard Skills:

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   Field-based case management (2+ years)

   
   
2. 
   

   Remote work (2+ years)

   
   
3. 
   

   Experience working with geriatric population (2+ years)