Region 7 Orlando Clinical - LTSS Service Care Manager
Location: Fort Lauderdale
Posted on: June 23, 2025
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Job Description:
Location : This role is remote but also requires field work 80%
of the time in Florida - Orange County (must be able to cover the
entire region 7, see Map), will primarily be supporting Orange and
Seminole ( no candidates from East Orlando) Will be assessing the
Geriatric Population! SHIFT: 8-5 Mon-Fr Duration: 3 months with
intent to convert, Absolutely NO TOR for the first 90 days
"Position Purpose: Assists in developing, assessing, and
coordinating holistic care management activities to enable quality,
cost-effective healthcare outcomes. May develop or assist with
developing personalized service care plans/service plans for
long-term care members and educates members and their
families/caregivers on services and benefits available to meet
member needs. Typical Day in the Role 8-5 Mon-Fri; Monthly and
quarterly member contact and will include 80% travel. Remote role.
Will require a driver s license. - Managing a case load for
healthcare members with long term care needs. - Geriatric long term
care - 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. 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 Nice to haves: 1. Discharge Planning Disqualifiers:
- Not having field experience - Not having previous experience with
high caseloads - Not at least meeting 40 WPM on typing test.
Candidate Requirements Education/Certification Required: Requires a
Bachelor's degree and 2 4 years of related experience. (Bachelors
Degree should be within the realm of Healthcare) 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. Preferred: n/a Licensure Required:
Valid driver's license Preferred: n/a
Keywords: , Sunrise , Region 7 Orlando Clinical - LTSS Service Care Manager, Healthcare , Fort Lauderdale, Florida
