Care Manager

4 days ago


Orlando, Florida, United States Spectraforce Technologies Full time
Job Title: LTSS Service Care Manager

Location: Member-facing, Orange County, with the ability to cover Seminole, Osceola, and Brevard

Duration: 11 months, with potential for extension

Responsibilities:
  • Manage a caseload of healthcare members with long-term care needs, ensuring timely and effective delivery of services.
  • Conduct monthly and quarterly member contacts, with 80% travel required, utilizing remote work capabilities and a valid driver's license.
  • Perform member assessments and note-taking, as well as complete assessments with members, caregivers, or providers to gather information for care plan development.
  • Monitor service delivery and follow up with members, caregivers, or providers through in-person visits and telephonic contact, authorizing and coordinating referrals as needed.
  • Ensure seamless service delivery without gaps, identifying functional deficiencies in plans of care and collaborating with discharge planners, physicians, and other parties to ensure appropriate discharge plans and care coordination.
  • Assist members with filing and resolving complaints and appeals.
Internal/External Groups with which the Candidate will Interface:

Required Skills/Experience:

  • 2+ years of care management experience, with a focus on long-term services and supports.
  • Experience with electronic medical health records.
  • Long-term care expertise.
  • Microsoft Office proficiency.
  • Discharge planning skills.
  • Bilingual Spanish proficiency.

Education Requirement: Bachelor's Degree.

Software Skills Required: Microsoft Office.

Position offered by a no-fee agency.



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