Position Title: LTSS Service Care ManagerLocation: Sarasota FLDuration: 3 Months | Possible extensionSchedule: Monday-Friday 8am-5pmPay rate: $25-30.00/hrDay-to-Day Responsibilities: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 appeals.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
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

Nice to haves:

Discharge Planning
Working with TruCare which is the software the team uses

Disqualifiers:

Not having field experience
Not having previous experience with high caseloads

Performance indicators: Bilingual always preferred req will indicate if Bilingual is required via the notes sectionTop skills:2 years of field case managementTechnology SavyMust be able to look at calendar and manage time - ensuring enough time for documentationEducation/CertificationRequired: 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.LicensureRequired: Valid driver's license

Clinical - LTSS Service Care Manager - J01031

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