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Pyramid Inc.
Clinical - LTSS Service Care ManagerPyramid Inc. • Pembroke Pines, FL, United States
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Clinical - LTSS Service Care Manager

Clinical - LTSS Service Care Manager

Pyramid Inc. • Pembroke Pines, FL, United States
21 hours ago
Job type
  • Temporary
Job description

Clinical - Ltss Service Care Manager

Immediate need for a talented Clinical - Ltss Service Care Manager. This is a 06+months contract opportunity with long-term potential and is located in Pembroke Pines, FL, Hallandale, FL, Weston, FL, Dania, FL, Davie, FL (Onsite).

Key Responsibilities:

  • Conduct assessments with members, caregivers, and providers to understand health status, support systems, functional needs, and required services
  • Help develop and maintain individualized long-term care and service plans
  • Coordinate referrals, providers, specialists, and community resources to meet members' needs
  • Monitor service delivery and care-plan outcomes, identify gaps in care, and recommend adjustments as needed
  • Maintain regular contact with members through telephone calls and in-person visits, based on member needs and program requirements
  • Collaborate with physicians, discharge planners, care providers, caregivers, and other partners to coordinate acute and long-term care
  • Support members and families with information about available services, benefits, procedures, referrals, and healthcare options
  • Help coordinate informal or voluntary services that can be incorporated into members' care plans
  • Assist members with filing and resolving complaints and appeals
  • Document assessments, member contacts, care-management activities, and outcomes accurately and in accordance with applicable requirements
  • Identify opportunities to improve quality of care and service delivery

Key Requirements and Technology Experience:

  • At least 2 years of case management experience
  • Strong Microsoft Office and computer skills
  • Bilingual in Spanish with strong English skills
  • Good time management, organization, adaptability, and teamwork skills
  • Ability to participate in virtual training and work independently
  • Valid driver's license and ability to travel locally for field visits
  • Bachelor's degree
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Clinical - LTSS Service Care Manager • Pembroke Pines, FL, United States