LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location:Polk County/ Lakeland area or Hillsborough County, Central Tampa

Assignment Duration: 3 months with intent to convert

Work Schedule: 8-5 Mon-Fri

Work Arrangement: field 80-90% of the time.

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:

• Health plan or business unit
• Team culture
• Surrounding team & key projects
• Purpose of this team
• Reason for the request
• Motivators for this need

• 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
• Daily schedule & OT expectations
• Typical task breakdown and rhythm
• Interaction level with team
• Work environment description
• 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.
• What makes this role interesting?
• Points about team culture
• Competitive market comparison
• Unique selling points

• Working with members in a face-to-face environment
• This position does have the intent to convert based on performance and eligibility
• Independent work
• Each member must be contacted once per month, and some may need to be seen
• Years of experience required
• Disqualifiers
• Best vs. average
• Performance indicators
• 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
• Need to see experience being able to manage high case load
• 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 Health Experience
• 
  
  
  
  1. Discharge Planning
  
  
  
  
• 
  
  
  
  1. Working with TruCare which is the software the team uses
  
  
  
  
• Not having field experience
• Not having previous experience with high caseloads
• Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section
• Top 3 must-have hard skills
• Level of experience with each
• Stack-ranked by importance

• 2 years of field case management
• Technology Savy
• Must be able to look at calendar and manage time - ensuring enough time for documentation