LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Assignment Duration: 12 months with conversion to FTE

Work Schedule: Monday - Friday 8 am - 5 pm

Work Arrangement: Remote with 80-90% field work (member-facing)

Work Location: Florida (Focus Areas: 33010, 33012, 33013, 33014, 33015, 33016, 33018, 33054, 33055, 33056, 33122, 33126, 33160, 33161, 33162, 33166, 33167, 33168, 33169, 33172, 33178, 33179, 33181, 33125, 33142, 33127, 33137, 33182, 33136, 33128, 33147, 33150, 33138; Hialeah to North Miami 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.

* Must have: Case management (2 years)

* Strong Microsoft skills

* Bilingual - Spanish required with strong English skills

Working Conditions & Physical Demands (If Applicable): Will be in the field 80-90% of the time. Requires a driver's license. Monthly and quarterly member contact and will include 80% travel.

Mobile-Optimized JD Summary

Florida LTSS Care Manager - 12-mo contract-to-hire. Manage geriatric LTC members with 80-90% field visits (Miami-area zips). Need 2+ yrs case mgmt, Spanish bilingual + strong English, Bachelor's. Independent role, convert to FTE. Driver's license required.