Long Term Service Care Manager

Immediate need for a talented Long Term Service Care Manager
. This is a 06+ months contract to hire opportunity with long-term potential and is located in Sarasota, FL / Lehigh Acres, FL (Hybrid). Please review the job description below and contact me ASAP if you are interested.

Job - 19133

Pay Range: $27 - $30/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• 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.

Key Requirements and Technology

Experience:

• 2+ years of Care Management experience (field experience is a must)
• Caseloads of 50, 60, 70 members – bonus if it is geriatric
• Long Term Care Medicaid experience
• Need to see experience being able to manage high case load
• Fast paced environment regarding new processes and programs
• They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.
• All documentation must be within system within 24 hours of completion
• Experience with electronic medical health records
• Home Health Experience
• Working with Tru Care which is the software the team uses
• Required:
  
  Requires a Bachelor's degree and 2 – 4 years of related experience.
• 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.
• Required:
  
  Valid driver's license

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.