LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Florida (must reside in Region 10 - zip codes 33311, 33308, 33306, 33304, 33309, 33069, 33060, 33062)

Assignment Duration: 3 months

Work Schedule: Monday - Friday 8 am - 5 pm

Work Arrangement: Hybrid (primarily remote with 3-4 field visits per week within Region 10)

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:

Support for client Plan serving long-term care members aged 21 and older (primarily geriatric) with caseload of 60-120 members.

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.

* Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Working Conditions & Physical Demands (If Applicable): Can expect to be in the field from 3 to four times a week within region 10 and occasionally based on business need they may be asked to go a little further - this would be on a request basis not mandatory. Requires a driver's license.