LTSS Service Care Manager

Centene Corporation•Remote-FL, FL

1d•$27 - $49•Remote

About The Position

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. This is a field-based position, and applicants must reside in West Palm Beach, Florida. The ideal candidate should have experience with LTSS and Medicaid managed care, as well as experience working with HCBS. Strong assessment skills, excellent communication and customer service skills, computer proficiency, strong organizational and management skills, and effective time management skills are essential for success in this role. The standard work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.

Requirements

Requires a Bachelor's degree and 2 – 4 years of related experience.
Individuals with a Bachelor’s degree in health, human, social work or education services with one or more years of qualifying experience; or a high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.
Experience interviewing and assessing member needs
Knowledge and experience regarding caseload management and casework practices
Knowledge regarding determining eligibility for DHSS programs
Knowledge regarding Federal and State law as it applies to DHSS programs
The ability to effectively solve problems and locate community resources
The ability to collaborate with caregivers, involved State agency representatives and providers
Good interpersonal skills
Ability to practice Cultural Competency with awareness and respect for diversity
Knowledge of the needs and service delivery system for all populations in the case manager’s caseload.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Experience with LTSS and Medicaid managed care
Experience working with HCBS
Strong assessment skills
Excellent communication and customer service skills
Computer proficiency
Strong organizational and management skills
Effective time management skills

Responsibilities

Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
Performs other duties as assigned.
Complies with all policies and standards.