New

LTSS Service Care Manager

Spectraforce Technologies

United States, North Carolina, Raleigh

May 14, 2025

Title: LTSS Service Care Manager

Location: All Candidates must reside in region 3 Must reside within Alachua County Bilingual HIGHLY PREFERRED - not required

Duration: 03 Months (Potential to extend)

Shift: 8:00 AM - 5:00 PM

Job Description: Day to Day Responsibilities of this Position and Description of Project: Managing a case load for healthcare members with long term care needs. Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license. 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.
Internal/External Groups with which the Candidate will interface:
Required Skills/Experience:		Preferred Skills/ Experience:
1.	2+ years of Care Management experience	1.	Home health
	Long term care	2.	Discharge planning
2.	Experience with electronic medical health records	3.	Microsoft office
3.	Bilingual (Spanish) Microsoft office	4.
Education Requirement:	Requires a Bachelor's degree and 2 - 4 years of related experience.	Education Preferred:
Software Skills Required:	Microsoft office, Experience with electronic medical health records
Required Certifications:	Valid driver's license	Required Testing:

Must haves:

2+ years of Care Management experience (field experience is a must)
Home Health Experience
Long Term Care Medicaid experience
Medicaid / Medicare experience
Need to see experience being able to manage high case load - Caseloads of 50,60,70 members who are 65 years of age and above team is not looking for pediatric experience
Experience with electronic medical health records

Position is offered by a no fee agency.