Care Manager for Long Term Services

1 week ago


Gainesville, Florida, United States Spectraforce Technologies Full time
Job Summary

We are seeking a skilled Care Manager to join our team at Spectraforce Technologies. As a Care Manager, you will be responsible for managing a caseload of healthcare members with long-term care needs.

Key Responsibilities
  • Manage a caseload of healthcare members with long-term care needs
  • Conduct monthly and quarterly member contact, including 80% travel
  • Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services
  • Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact
  • Authorize and coordinate referrals 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 members with filing and resolving complaints and appeals
Requirements
  • Bachelor's degree or Registered Nurse License and 2+ years of care management experience
  • Licensed Practical Nurse and 4+ years of care management experience
  • 6+ years of care management experience
  • Home health, discharge planning, or long-term care experience preferred
  • Valid driver's license
Preferred Skills and Experience
  • 2+ years of care management experience
  • Home health experience
  • Experience with electronic medical health records
  • Long-term care experience
  • Microsoft Office skills
  • Discharge planning experience
  • Bilingual in Spanish
Education Requirements

Bachelor's degree

This is a remote role with 80% member-facing responsibilities. If you are a skilled Care Manager looking for a new challenge, please apply today.


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