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