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Position Title: LTSS Service Care Manager Work Location: Candidates must reside within the state of Florida. All candidates must reside in region H (Broward); Spanish-speaking is preferred. (cities: Ft. Lauderdale, Deerfield Beach, Pompano Beach, Hollywood, or Hallandale). Also zip codes to source from: 33311, 33308, 33306, 33304, 33309, 33069, 33060, 33062, 33064, 33066, 33334, 33325, 33324, 33332, 33029, 33317 Assignment Duration: 3-month Contract-to-hire Work Schedule: Monday - Friday 8 am - 5 pm Work Arrangement: Remote with required field travel (3-4 in-person visits per week within assigned region; approximately 80% travel). Valid driver's license required. 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: This role supports long-term care members through The Organization's health plan in Florida. The team manages caseloads of 60-120 members, focusing on building care plans, completing assessments, and coordinating services and community resources for members 21 years and older with long-term care 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:
| Candidate Requirements |
| Education/Certification |
Required: Requires a Bachelor's degree and 2 - 4 years of related experience |
Preferred: |
| Licensure |
Required: i.e. RN, BSN, LPN, etc. |
Preferred: |
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
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Must haves:
- 2+ years of Care Management experience (field experience is a must)
- Home Health Experience
- Long Term Care Medicaid experience
- Medicaid / Medicare experience
- Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
- Experience with electronic medical health records
Nice to haves:
- Team has noticed that people that perform well in this role are those that have case management experience
- Field based experience with managing a caseload similar to the one noted for this team (60-120 members)
- Individuals with previous DFPS experience
Disqualifiers:
- Having telephonic customer service calls is not what the team is seeking in regard to case management. They are really seeking someone with in the field case management experience
- Not having field experience
- Not having previous experience with high caseloads
- Not at least meeting 40 WPM on typing test
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- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
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1 |
2+ years of Care Management experience (field experience is a must)
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| 2 |
Home Health Experience |
| 3 |
Experience with electronic medical health records
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Position is offered by a no fee agency.
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