Long Term Care Specialist

Job Title: Long Term Care Coordinator 1

Duration: 06+ months

Location: Sarasota County

Shift: Day 5x8-Hour (08:00 - 05:00)

Notes:

• Contractors will work from home but will be visiting members in facilities or their homes. 80% is member facing.
• Location: Region 8- Sarasota County

Position Purpose:

• 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.

Responsibilities:

• 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.

Education/Experience:

• Bachelor’s degree or Registered Nurse License and 2+ years of care management experience, Licensed Practical Nurse, and 4+ years of care management experience, or 6+ years of care management experience.
• Home health, discharge planning, or long-Term Care experience preferred.

Licenses/Certifications:

• Valid driver's license. LPN, LCSW or RN preferred.

Day-to-Day responsibilities:

• 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.

Requirements:

• 2+ years of Care Management experience (see above)
• Experience with electronic medical health records
• Microsoft office
• Bilingual Spanish

Job Type: Full-time

Salary: $23.00 - $25.00 per day

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• Care management: 3 years (Preferred)

Shift availability:

• Day Shift (Preferred)

Willingness to travel:

• 75% (Preferred)

Work Location: On the road