LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Florida based candidates (Collier County); Spanish fluency required. In the field 80-90% of the time.

Assignment Duration: 3 months with conversion to FTE

Work Schedule: 8-5 Mon-Fri

Work Arrangement: Field-based (80-90% travel / member-facing); remote administrative component; requires valid driver's license

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. * Bachelor's 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. * Valid driver's license required * 2+ years of Care Management experience (field experience is a must) * Experience with caseloads of 50, 60, 70 members - bonus if geriatric * Long Term Care Medicaid experience * Medicaid / Medicare experience * Ability to manage high case load in a fast-paced environment regarding new processes and programs * Comfortable connecting with IT should equipment fail in the field or able to go into an office/IT space * All documentation must be within system within 24 hours of completion * Experience with electronic medical health records * Home Health Experience preferred * Discharge Planning and TruCare experience are nice-to-haves

Working Conditions & Physical Demands (If Applicable): * 80-90% field / travel work; monthly and quarterly member contact; home and site visits required * Member-facing field role