LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Florida - Orange County - Region E-7 (must be able to cover entire region; primarily Orange and further north towards Seminole, but NOT in Seminole; no candidates from East Orlando)

Assignment Duration: 3 months with intent to convert

Work Schedule: 8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel

Work Arrangement: Remote role. Will require a driver's license.

Position Summary:

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  Managing a case load for healthcare members with long term care needs.

  
  
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  Geriatric long term care

  
  
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  Member assessments and notes.

  
  
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  Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.

  
  
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  Monitor delivery of services and follow-up with members, caregivers, or providers through in person visits and telephonic contact

  
  
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  Authorize and coordinate referral for services.

  
  
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  Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.

  
  
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  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!

  
  
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  Assist member with filing and resolving complaints and appeals.

  
  

Qualification & Experience:

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  Required: Requires a Bachelor's degree and 2 (case management experience) - 4 years of related experience. (Bachelor's Degree should be within the realm of Healthcare) - Psychology, Sociology, etc.

  
  
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  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.

  
  
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  Required: Valid driver's license

  
  
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  Must haves:

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

    
    
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    Home Health Experience

    
    
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    Long Term Care Medicaid experience

    
    
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    Medicaid / Medicare experience

    
    
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    Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience

    
    
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    Experience with electronic medical health records

    
    
  
  
  
  
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  Nice to haves:

  
  
  
  
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    Discharge Planning

    
    
  
  
  
  
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  Disqualifiers:

  
  
  
  
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    Not having field experience

    
    
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    Not having previous experience with high caseloads

    
    
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    Not at least meeting 40 WPM on typing test

    
    
  
  
  
  
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  Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section

  
  

Top 3 must-have hard skills:

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   2 years of field case management

   
   
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   Technology savvy

   
   
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   Must be able to look at calendar and manage time - ensuring enough time for documentation

   
   
   
   
   
   
   

   Candidate Requirements
   Required: Requires a Bachelor's degree and 2 (case management experience) - 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
   Required: Valid driver's license	Preferred: n/a
   Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: 2+ years of Care Management experience (field experience is a must) Home Health Experience Long Term Care Medicaid experience Medicaid / Medicare experience Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience Experience with electronic medical health records Nice to haves: Discharge Planning Disqualifiers: Not having field experience Not having previous experience with high caseloads Not at least meeting 40 WPM on typing test Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section
   Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	2 years of field case management
   2	Technology Savy
   3	Must be able to look at calendar and manage time - ensuring enough time for documentation