Job Description

NOW HIRING FOR A TOP HEALTHCARE / MANAGED CARE COMPANY WORKING REMOTELY OR FROM HOME BUT NEEDING TO BE LOCATED IN FLORIDA WHOM ARE IN NEED OF AN EXPERIENCED LTSS CARE MANAGER TO BECOME A PART OF THE TEAM.

PLEASE APPLY DIRECTLY FOR CONSIDERATION. DAMIAN SROKA / DSROKA@ALINESTAFFING.COM / TEXT: (847) 220-5241

• Position will be remote or work from home - Must live in or near the Plantation, FL area

PAY/HOURS:

• PAY RATE: $22.00 to $23.00 per hour (possible pay increase after 90 days)
• HOURS: Full time – Monday - Friday 40 hour 8:00 a.m. - 5:30 p.m.

JOB DESCRIPTION:.

• 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 drivers 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

REQUIRED:

• 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

WHY APPLY: Company Benefits!

• FULL BENEFITS AVAILABLE AFTER 90 DAYS: Medical, Dental, Vision, Life, Short-term Disability
• 401K AFTER 1 YEAR OF EMPLOYMENT: With employer match and profit sharing
• GREAT HOURS! Full-Time Monday through Friday, 40 hours per week – Overtime available paying time and a half over 40 hours worked.
• COMPETITIVE PAY RATE! With possible pay increases after 90 days of employment.
• WORK LIFE BALANCE! Growth Potential

PLEASE CONTACT DAMIAN SROKA BY APPLYING DIRECTLY FOR CONSIDERATION OR EMAILING RESUME TO DSROKA@ALINESTAFFING.COM / TEXT: (847) 220-5241

Managed Care, Health Plan, Health Insurance, Case Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, RN, BSN, MSN, Registered Nurse, Quality Assurance, Quality Improvement