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LTSS Service Care Manager
1 month ago
Location: Remote (member facing Tampa, FL)
Duration: 4 months (potential to extend)
Job Responsibilities:
Managing a case load for healthcare members with long term care needs.
Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
Member 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 contact
Authorize 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.
Qualifications:
- Bachelor's degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse, and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long-term care experience preferred.
- Valid driver's license
Internal/External Groups with which the Candidate will interface:
Required Skills/Experience:
Preferred Skills/ Experience:
1.
2+ years of Care Management experience
1.
Home health
2.
Experience with electronic medical health records
2.
Long term care
3.
Microsoft office
3.
Discharge planning
Education Requirement:
Bachelor's degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or 6+ years of care management experience. Home health, discharge planning, or long term care experience preferred.
Education Preferred:
Software Skills Required:
Microsoft office, Experience with electronic medical health records
Required Certifications:
Valid driver's license
Required Testing:
Position is offered by a no fee agency.
