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Spectraforce Technologies

LTSS Service Care Manager

Spectraforce Technologies, Tallahassee, Florida, United States

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Position Title:

LTSS Service Care Manager

Work Location:

Pinellas County, FL (Clearwater & Pinellas Park - Target ZIP: 33709)

Assignment Duration:

3 months with intent to convert

Work Schedule:

8:00 AM - 5:00 PM, Monday-Friday

Work Arrangement:

Remote with extensive field work (80-90% travel)

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.

Background & Context This role supports long-term care members through field-based assessments, care coordination, and ongoing case management within The Organization's health plan environment.

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

Education / Certification

Required : Bachelor's degree and 2–4 years of related experience. Degree should be within the realm of Healthcare (Psychology, Sociology, etc.). Field experience is needed to consider candidates without a degree.

Preferred : None

Licensure

Required : Valid driver's license

Preferred : None

Must Haves

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

Experience managing caseloads of 50–70 members, bonus if geriatric

Long Term Care Medicaid experience

Medicaid / Medicare experience

Experience managing a high case load in a fast‑paced environment

Comfortable with IT support or office access in field situations

Documentation entered into system within 24 hours of completion

Experience with electronic medical health records

Home Health Experience

Nice to Have

Discharge Planning

Working with TruCare software

Disqualifiers

Not having field experience

Not having prior experience with high caseloads

Performance Indicators

Bilingual always preferred. Requirements will indicate if bilingual is required via the notes section.

Hard Skills

2 years of field case management

Technology Savy

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

Position is offered by a no‑fee agency.

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