New

LTSS Service Care Manager

Spectraforce Technologies

United States, Florida, Jacksonville

13141 City Station Drive (Show on map)

Apr 28, 2025

Title: LTSS Service Care Manager

Location: Region - 8 Charlotte, Collier, DeSoto, Glades, Hendry, Lee, and Sarasota / Must reside within Ft. Myers

Will be in the field 80-90% of the time.

Duration: 06 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM

"Position Purpose:

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.

Education/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.

License/Certification:

For Iowa Only: Bachelor's degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least two years of experience in the delivery of services to the population groups or current state's Registered Nurse (RN) license and at least four years of experience required

For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.

RN or LCSW required.

For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.

RN or LCSW / LCSW-A preferred" "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"

8-5 Mon-Fri; Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
Managing a case load for healthcare members with long term care needs.
Geriatric long term care
Member assessments and notes.
Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
Monitor delivery of services and follow-up with members, caregivers, or provider s through in person visits and telephonic contact
Authorize and coordinate referral for services.
Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
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!

Assist member with filing and resolving complaints and appeals.

Education/Certification	Required: Requires a Bachelor's degree and 2 - 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
Licensure	Required: Valid driver's license	Preferred: n/a

Must haves:

2+ years of Care Management experience (field experience is a must)
Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
Long Term Care Medicaid experience
Medicaid / Medicare experience
Need to see experience being able to manage high case load
Each member must be contacted once per month, and some may need to be seen
Fast paced environment regarding new processes and programs
They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.
All documentation must be within system within 24 hours of completion
Experience with electronic medical health records
Home HealthExperience

Position is offered by a no fee agency.