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Long Term Care Manager- Hybrid

2 months ago

Boca Raton, United States HealthCare Support Full time
-Long Term Care Coordinator

HealthCare Support is actively seeking a Long Term Care Coordinator to fill an opening with a Centene - Sunshine State Health Plan.

Daily Responsibilities for Long Term Care Coordinator:

  • Managing a case load for healthcare members with long term care needs.
  • Will have a mix case load of Home Members and Nursing Members
  • Home Members: Within a quarter (3 months) they will need to see the member in person 1x then call the member 1x the 2 other months they do not see the member in person. If there has been a major change in health they may have to see the member instead of calling them that month.
  • Nursing Members: Are seen monthly in a facility. Their caseload will be grouped together with all the members in the same nursing facility so all onsite visits could be seen onsite the same day.
  • Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a drivers license.
  • Member assessments and notes.
  • Assessments: State Mandated 701B - includes demographics, some medical, functionality: Ex: bathing, eating, dressing, home meals, cleaning, food, walking
  • Visits on average for a new member could be 2-3 hours long, and for a member after 90 days are an hour long on average
  • Will depend if the member is bed-bound as those will take longer with medical devices, supplies
  • If the member has early dementia they normally have a care giver so it is quicker
  • 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
Required Qualifications for Long Term Care Coordinator:
  • Full Address and Zip Code must be on resume or SS will reject
  • Must be Bilingual Spanish
  • HS Diploma and 6+ years of case management experience or Bachelor's degree and 2+ years of case management experience
  • OR LPN with 4+ years of case management exp or RN with 2+ years of case management experience
  • case load number and types of patients must be in the resume
  • Home Health, Long Term Care or discharge planning exp highly preferred
  • 1+ year of field work experience
  • must be shown on resume
  • Experience with electronic medical health records
  • Must have valid FL DL
  • Must be comfortable going into members homes/field work
  • Strong tenure - please include reasons for leaving for positions that are less than a year
  • Not working another position with this role that sees sunshine patients that they cannot opt out of

Preferred Qualifications for Long Term Care Coordinator:
  • Managed care experience
  • home health, LTC, and/ or discharge planning
  • Child Welfare/Department of Children and Families - usually transition well in this role
  • Dependency Case Manager
  • Child Protective Investigator
  • DCF Navigator
  • Adoption Case Manager
  • Targeted Case Manager
  • Community Agency Worker
  • field work experienced

Benefits for Long Term Care Coordinator:
  • Immediate enrollment in Health Insurance
  • Dental Insurance
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Access to Investment Accounts
  • Career and educational tools within our Ingenovis ACT (Advocacy) Program


Pay Details: $24.50-26.20/hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to cgallo@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.