LTSS Service Care Manager

Position Title: LTSS Service Care Manager

Work Location: Polk County, FL;
Central Tampa (focus zip codes: 33607, 33614, 33617)

Bilingual Required

Assignment Duration: 3 Months

Work Schedule: 8:00 AM - 5:00 PM, Monday-Friday

Work Arrangement: Remote (Field-Based with 80% Travel)

Managing a case load for healthcare members with long term care needs. Geriatric long term care.

• Managing a case load for healthcare members with long term care needs.
• 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 providers 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.

• Requires a Bachelor's degree and 2 – 4 years of related experience (degree within Healthcare such as 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.
• Valid driver's license required.
• 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.
• Comfortable connecting with IT or traveling to office/IT space if equipment fails.
• All documentation must be completed within system within 24 hours.
• Experience with electronic medical health records.
• Home Health Experience.

• Nice to haves:
  Discharge Planning;
  Working with Tru Care software.
• Disqualifiers:
  Not having field experience;
  Not having previous experience with high caseloads.
• Performance indicator:
  Bilingual preferred when applicable.

Position is offered by a no fee agency.