PinellasParkRecruiter Since 2001
the smart solution for Pinellas Park jobs

Field-Based Case Manager - Long Term Care (LTC) - Pinellas County Residents

Company: WellCare
Location: Pinellas Park
Posted on: March 14, 2020

Job Description:

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization.

To learn more about this position Click Here to see a video.

KEY DETAILS

--- This is a field-based and remote role with an assigned territory covering the following Florida counties: Pinellas and Pasco.
--- Preference for individuals residing in Pinellas County.
--- Caseload assigned based on applicant's residence.
--- Considering professionals with experience working with the long term support services / long term care population.
--- Will complete in-home/field visits 70% of the time.
--- Strong computer skills needed.

Oversees the care for long term support services / long term care populations and provides coordination of care services for lower acuity individuals living in the community or nursing facilities. Ensures a comprehensive assessment of member's care needs and status, interdisciplinary team approach, and education of members. Works closely with internal and external partners to achieve optimal health care outcomes for the member through effective coordination of care activities.

REPORTS TO: Manager, Field Care Management
DEPARTMENT: Health Services - Long Term Care / LTC
POSITION LOCATION: Pinellas County, FL
JOB TYPE: Hourly/Non-Exempt

Essential Functions:

--- Coordination and care management of members with lower utilization of home community services (i.e. members attending adult day care services or those who are stable on current medication / treatment regimens).
--- Manages an active caseload based on state mandated ratios according to residential setting, case intensity and acuity.
--- Ensures comprehensive assessments are completed within required time frames and utilizes knowledge and expertise to assess options for care including use of benefits and community resources.
--- Partners effectively with the PCP, Specialist, member, member?s family and integrated care teams (ICT) to develop a Person Centered Care Plan.
--- In partnership with the member, family, physician(s), ICT and other providers, assesses short and long term member needs, evaluates the need for alternative services and establishes member driven care management objectives.
--- Responsible for coordination of service authorizations (i.e. meals, transportation, activities of daily living).
--- Educates on and coordinates community resources with emphasis on medical, behavioral and social services. Applies care management standards and maintains HIPAA standards and confidentiality of protected health information.
--- Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
--- Performs special projects as assigned.

Additional Responsibilities:

Candidate Education:

--- Required Other For Florida LTC and IL LTSS: a Bachelors degree in social work, sociology, psychology, gerontology, or other related social services field
--- Preferred Other For Florida LTC and IL LTSS: a Masters degree in social work, sociology, psychology, gerontology, or other related social services field
Candidate Experience:
--- Required Other For Florida LTC and IL LTSS, must meet one of the following:
- *Possess a minimum of two (2) years of relevant experience and have a Bachelor?s degree in social work, sociology, psychology, gerontology, or a related social services field; or
- * Possess a master?s degree in social work, sociology, psychology, gerontology, or a related social services field may substitute experience obtained through a practicum, internship, or clinical rotation on an equivalent basis for up to one (1) year of the experience requirements;
- *Non-degreed candidates may substitute professional human service experience on a year-for-year basis for the educational requirement with a minimum of six (6) years of relevant experience.
Candidate Skills:
--- Intermediate Demonstrated written communication skills
--- Intermediate Demonstrated interpersonal/verbal communication skills
--- Intermediate Knowledge of healthcare delivery
--- Intermediate Ability to work as part of a team
--- Intermediate Ability to work independently
--- Intermediate Ability to work in a fast paced environment with changing priorities
--- Intermediate Demonstrated organizational skills
--- Intermediate Other Ability to remain calm under pressure
Licenses and Certifications:
A license in one of the following is required:

--- Required Other For FL only: CPR Certified
--- Preferred Certified Case Manager (CCM)
--- Required Other For IL only: Licensed Behavioral Professional i.e. RN, LCSW, LMHC, LMFT or LCPC for
Technical Skills:
--- Required Intermediate Microsoft Outlook
--- Required Intermediate Microsoft Word
--- Required Intermediate Microsoft Excel
--- Required Intermediate Healthcare Management Systems (Generic)
Languages:

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: WellCare, Pinellas Park , Field-Based Case Manager - Long Term Care (LTC) - Pinellas County Residents, Executive , Pinellas Park, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Lead Project Manager
Description: RESPONSIBILITIES Kforce has a client in search of a Lead Project Manager in Saint Petersburg, FL. Duties Include Under general supervision, uses specialized knowledge and skills obtained through education, (more...)
Company: Kforce Technology Staffing
Location: Saint Petersburg
Posted on: 04/1/2020

Accounting Manager
Description: About the Company: br A third party logistics 3PL company based in Orlando with over
Company: Kimmel & Associates
Location: Orlando
Posted on: 03/31/2020

Account Manager
Description: Think you have what it takes to become a TCL Campus Manager As a Campus Manager, you will have the
Company: The Collegiate Lineup
Location: Orlando
Posted on: 04/1/2020


Florida Blue Medicare - Director Medicare Product Operations - Florida Blue (Orlando,FL)
Description: This position works closely with other members of the Medicare product team collaborating on key initiatives and other work efforts required for success. This person will be the point of contact for the (more...)
Company: Confidential
Location: Orlando
Posted on: 03/31/2020

Assistant Product Manager at a TED-Featured Startup
Description: GrantPA is a web platform that connects users with grants, fellowships, residencies, and more. We---re looking for a creative, committed, and detail-oriented,
Company: GrantPA
Location: Orlando
Posted on: 04/1/2020

Associate Program Manager
Description: RESPONSIBILITIES Kforce has a client in search of an Associate Program Manager in Orlando, FL. Summary The position will initially have limited but increasing client facing responsibilities and will be (more...)
Company: Kforce Technology Staffing
Location: Orlando
Posted on: 04/1/2020

assistant store manager
Description: Now Brewing - Future Leaders tobeapartner br br Starbucks is known for developing extraordinary people who drive business success by doing the right thing for partners employees , customers and (more...)
Company: Starbucks
Location: Sarasota
Posted on: 04/1/2020

Region Director - Americas
Description: Overview br br br ul br br li Provide leadership and management of the Americas equipment sales and customer care groups. br li Strategize, develop and expand sales and services opportunities (more...)
Company: John Bean Technologies Corporation
Location: Orlando
Posted on: 04/1/2020

Paid Search Manager
Description: Top 3 reasons our employees love working at Omicron: br br ul br li We build cutting-edge technology that is literally changing how the world consumes online content. br li We get to collaborate (more...)
Company: Omicron Media, Inc.
Location: Orlando
Posted on: 04/1/2020

Director, Business Analytics
Description: Who We Are br br At Christian Care Ministry CCM we believe that Christians can, and should, share in one another's burdens. Through the use of Medi-Share--, a Christian Healthcare Ministry, we cultivate (more...)
Company: Christian Care Ministry
Location: Orlando
Posted on: 03/31/2020

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Pinellas Park RSS job feeds