Job Title: LTSS Service Care Manager

Location: Pasco county- New port Richey area

Duration: 6 months with possible extension

Shift: Mon-Fri 8 am- 5 pm

Note:

• Monthly and quarterly member contact and will include 80% travel in Pasco county / New port Richey area.
• Remote role.
• Will require a driver's license.

Job Description:

Summary:

Responsible for members gaining access to needed services through coordination and integration of medical and long-term care services for the purpose of orientation, care plan development, assessment, and care coordination.

Job Responsibilities:

• 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 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.

Minimum Qualification:

• 2+ years of Care Management experience
• Experience with electronic medical health records.
• Microsoft office.

Preferred skills:

• Home health.
• Long term care.
• Discharge planning.
• Bilingual Spanish Speaking