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Spectraforce Technologies

LTSS Service Care Manager

Spectraforce Technologies, Naples, Florida, United States, 33939

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Position Title:

LTSS Service Care Manager

Work Location:

Collier - Naples (Region-8)

Assignment Duration:

3 months with intent to convert

Work Schedule:

8 AM to 5 PM Mon to Fri

Work Arrangement:

Will be in the field 80% to 90% of the time

Position Summary:

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost?effective healthcare outcomes.

Background & Context:

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

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

They can build and schedule their meetings throughout the week

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.?

Must-haves:

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

Caseloads of 50,?60,?70 members - bonus if it is geriatric

Long Term Care Medicaid experience

Medicaid / Medicare experience

Ability to manage high case load

Fast paced environment regarding new processes and programs

Comfort troubleshooting IT equipment or going into office/IT space

All documentation must be within system within 24 hours of completion

Experience with electronic medical health records

Home Health Experience

?Nice to haves:

Discharge Planning

Working with TruCare software

?Disqualifiers:

Not having field experience

Not having previous experience with high caseloads

Position is offered by a no fee agency.