LTSS Service Care Manager

Spectraforce Technologies

remote work

United States, Florida, Miami

Apr 28, 2025

Title: LTSS Service Care Manager

Location: Region - 11 - Miami Dade and Monroe

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.
"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

Responsibilities:

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

Must Haves:

experience with field based case management, remote work, Average CL #, home visits, care plan development, experience with type of assessments.

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

Prefer experience working with TruCare which is the software the team uses

Experience in Case Management in senior services, state agencies. Team Player, problem solver, solutions oriented, member centric, Integrity

1	Field-based case management
2	Remote work
3	Experience working with the geriatric population

Candidate Requirements
Education/Certification	Required: Requires a Bachelor's degree and 2 - 4 years of related experience	Preferred: n/a
Licensure	Required: Drivers License	Preferred: n/a

Position is offered by a no fee agency.