TITLE: REMOTE CASE MANAGER - INTEGRATED CARE.
LOCATION: FORT LAUDERDALE, FL. 33304.
DURATION: 6+ MONTHS.
LICENSE: LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR’S DEGREE. ALL OTHER LICENSES REQUIRE A MASTER’S DEGREE.
TEMP-TO-PERM REMOTE POSITION.
HOURS: 8 AM – 5 PM.
ESSENTIAL FUNCTIONS:
- Completes relevant screening and assessment. Ensures continuity of care for newly enrolled members. Identifies and prioritizes the members’ needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the member's ability to self-manage to the greatest extent possible.
- Develops, implements, and monitors the Person-Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate. Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings. Serves as the primary point of member contact.
- Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers, and community supports. As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
- Maintains timely, complete, and accurate documentation using both hard copy and technology-based solutions in compliance with regulatory policies and procedures. Gathers and summarizes data for reports. Supports initiatives of the Quality Assessment and Performance Improvement Committee. All other duties as assigned.
REQUIREMENTS/CERTIFICATIONS:
- Candidates must be local to the Fort Lauderdale, FL area, which is in Broward County. There are occasional field visits with an average of 1 or 2/week.
ADDITIONAL INFORMATION:
- Coordinating Care, Case Management, Clinical, and Medicaid experience will stand out on resumes for the manager. Candidates must be comfortable working in a cubicle environment, typing and talking simultaneously, and navigating through multiple systems.
- MUST be computer literate. To be successful in the position, the selected candidate must be able to apply principles of Care Management and Person-Centered Service Planning, apply Care Guidelines and other applicable, evidence-based clinical guidelines, understand and apply coverage guidelines and benefit limitations, be familiar with clinical needs and disease processes for the member, and lead an interdisciplinary care team.
- Responsible for the assessment, reassessment, care planning, and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person-centered care plan, member education, and care management. Regularly communicates with the members, PCP, and others.
- The successful candidate will have strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner.
LICENSE:
LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR’S DEGREE. All other licenses require a Master’s Degree.
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