Angela Drye

New Job! HSS Job Title: Long Term Care Manager- Hybrid 

Company Job Title: Clinical - LTSS Service Care Manager    Staffing specialist: Teresa Baker Hiring Manager: Sylwia Liro   Req: 178629-1

• # of Openings:1  

Length of Assignment: RTH; 3-6 months 

 

BR:  46 

 

Compensation: $28-$33 per hour 

• FTE conversion is normally $68-$70K with opportunity for annual merit increases with the % of it being based on performance -  

 

Shift: M-F 8am-5pm EST 

• Training: M-F 8am-5pm EST for 4 weeks and is not flexible and cannot have any time off  
• Will be 4 weeks long – 1st 2 weeks will be instructor led online, then next 2 weeks will be shadowing experiences 

 

Location: up to 80% field based - Must live in Region C/5 - Pinellas County

Start Date:7/13

• Must clear 2 Mondays prior - start dates are the 2nd Monday of every month ONLY 

 

Recruiter Sub Requirements 

Minimum Qualifications: 

• Bachelor’s degree 
• 2+ years of case management experience and completing field visits for long term care Medicaid/Medicare, Home Health, or Discharge planning  
• Case load number and types of patients, and field visits must be in the resume or HM will DQ 
• Must be comfortable going into members’ homes for assessments and able to handle caseloads of 50-100 members 
• Ensure fieldwork experience is visible on the resume – will be DQ'd by manager otherwise 
• Typing test - please include WPM on resume - looking for 40+ WPM 
• Must have experience with EMR and able to complete documentation within 24 hours into the system  
• Must have a Valid and Active Driver’s license 
• Must have MS Office exp - excel, outlook, word 
• Strong tenure - please include reasons for leaving for positions that are less than a year or gaps larger than a month  
• If they are currently working a PRN/PT job - please indicate on the resume that they are leaving the role or not for a quicker submittal process. This is also helpful for the managers when they are reviewing resumes because of the conflict of interest policy. 
• If keeping role please put: "Planning on keeping role, does not interfere with shift and can opt of Centene members" 

• Candidates’ ENTIRE address and highlight all case management experience in the resume 
• WFH capability – smart phone, private workspace, high speed internet

Preferred: 

• Bilingual Spanish/English
• Exp with geriatric population - highly preferred 
• Exp working with TruCare
• Knowledge of healthcare and managed care preferred 
• Home health, long term care exp or Discharge planning exp 
• BSN  
• Targeted Case Manager 
• Community Agency Worker  

 

DQ: 

• Does not live in counties listed above 
• No field work experience 
• Having only pediatric case management experience (getting more insight on this if there is any flexibility with some exp in pediatrics but would avoid for now)  
• If address is not on resume  
• Working another position along this role that sees sunshine patients that they cannot opt out or conflicts with schedule 
• Does not score 40 WPM or above on typing test 
• Any time off in the first 30 days of training - not flexible  
• In process of moving to Florida - must already be moved and settled  

Best Candidates: 

• 1st Best:  Case manager coming from Home Health, Long Term Care or Discharge Planning 

 

In Depth Information to Provide Candidates: 

Travel: Monthly and quarterly member contact and will include 80%-90% travel - Will receive IRS mileage rate  

• they try to keep the travel radius within 15-30 miles of where the candidate lives  
• most likely will have a mixed case load of seeing members in their homes, and members at nursing facilities ASL/LTC  
• Candidate is able to pick when they do their member visits each week but they must see their members at least 1x every 3 months so on average they will do about 3 visits each week but will depend on their case load 
• On average each visit could be 45 minutes-1 hour long, normally the new member orientation could go over an hour but that will only be completed with new members  

 

About the Job: 

• Candidates will be utilizing True Care- Candidates should be able to complete assessments with 90 min (19 pages) – Then are responsible for entering the data into the system 
• Responsible for members gaining access to needed services through coordination and integration of medical and long-term care services for orientation, care plan development, assessment, and care coordination. 
• They will be assessing needs of elderly patients-i.e. asking them questions to see what type of services they need for expr home health care 
• Working with the impoverished elderly population (65+ yrs. old). 
• Managing a case load for healthcare members with long term care needs.  
• Will have a mix case load of Home Members and Nursing Members  
• Home Members: Within a quarter (3 months) they will need to see the member in person 1x then call the member 1x the 2 other months they do not see the member in person. If there has been a major change in health they may have to see the member instead of calling them that month. 
• Nursing Members: Are seen monthly in a facility. Their caseload will be grouped together with all the members in the same nursing facility so all onsite visits could be seen onsite the same day. 
• Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a drivers license.  
• Able to build and schedule their meetings throughout the week but must have time management skills to stay in compliance  
• Member assessments and notes.  
• Assessments: State Mandated 701B – includes demographics, some medical, functionality: Ex: bathing, eating, dressing, home meals, cleaning, food, walking 
• Visits on average for a new member could be 2-3 hours long, and for a member after 90 days are an hour long on average 
• Will depend if the member is bed-bound as those will take longer with medical devices, supplies 
• If the member has early dementia they normally have a care giver so it is quicker  
• 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 
•  

Company Job Description 

• 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. 
• 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 providers 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