Remote Case Manager - Integrated Care

Job Description

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 OF OTHER LICENSES REQUIRES 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 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.

Additional Information

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 of the resumes for the manager. Candidates must be comfortable with working in a cubicle environment, comfortable with typing and talking at the same time and comfortable navigating through multiple systems.

MUST be computer literate. To be successful in the position, the selected candidate must be able to apply principals of Care Management and Person Centered Service Planning, apply Care Guidelines and other applicable, evidenced-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 other.

The successful candidate will have strong organizational skills and have 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 of other licenses requires a Master's Degree.

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