Position Title: LTSS Service Care Manager
Work Location: Collier - Naples (Region-8)
Assignment Duration: 3 months with intent to convert
Work Schedule: 8 AM to 5 PM Mon to Fri
Work Arrangement: Will be in the field 80% to 90% of the time
Position Summary:
Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost?effective healthcare outcomes. Background & Context:
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
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.?
Must-haves:
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
Ability to manage high case load
Fast paced environment regarding new processes and programs
Comfort troubleshooting IT equipment or going into office/IT space
All documentation must be within system within 24 hours of completion
Experience with electronic medical health records
Home Health Experience
?Nice to haves:
Discharge Planning
Working with TruCare software
?Disqualifiers:
Position is offered by a no fee agency.
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