LTSS Service Care Manager

Position Title: LTSS Service Care ManagerWork Location: All candidates must reside in Citrus county near Clermont. Spanish speaking preferred, but not a requirementAssignment Duration: 12 months (Possibility to extend or convert)Work Arrangement: Hybrid (80 % hom,e-health, 20% remote)FTE Salary Conversion Band$68-70K yearly team will try to not go aboveResponsibilities: Will require a driver's license.Managing a case load for healthcare members with long term care needs.Geriatric long term careMember 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 contactAuthorize 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 appealsWorking with members in a face-to-face environmentThis position does have the intent to convert based on performance and eligibilityIndependent workEach member must be contacted once per month, and some may need to be seenCandidate RequirementsEducation/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 Years of experience requiredDisqualifiersBest vs. averagePerformance indicators Must haves: 2+ years of Care Management experience (field experience is a must)Caseloads of 50,60,70 members - bonus if it is geriatricLong Term Care Medicaid experienceMedicaid / Medicare experienceNeed to see experience being able to manage high case loadFast paced environment regarding new processes and programsThey 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 completionExperience with electronic medical health recordsHome Health Experience Nice to haves: Discharge PlanningWorking with TruCare which is the software the team uses Disqualifiers: Not having field experienceNot having previous experience with high caseloads Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes sectionTop 3 must-have hard skillsLevel of experience with eachStack-ranked by importanceCandidate Review & Selection 1 2 years of field case management 2 Technology Savy 3 Must be able to look at calendar and manage time - ensuring enough time for documentation Position is offered by a no fee agency.