Clinical Care Manager - CA

divh2Clinical Care Manager CA/h2pWe are seeking a Clinical Care Manager CA to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations./ppThe Clinical Care Manager plays a pivotal role in coordinating and overseeing patient care to ensure optimal health outcomes. This position involves managing care plans, collaborating with multidisciplinary healthcare teams, and serving as a liaison between patients, families, and providers. The Clinical Care Manager is responsible for assessing patient needs, facilitating access to appropriate services, and monitoring progress to adjust care strategies as necessary. By integrating clinical expertise with strong organizational skills, this role aims to enhance patient satisfaction and improve overall care quality. Ultimately, the Clinical Care Manager ensures that care delivery is efficient, patient-centered, and aligned with best practices and regulatory standards./ppMinimum Qualifications:/pulliBachelors degree in Nursing, Social Work, Healthcare Administration, or a related field./liliRequires at least 5 years of experience in clinical care coordination or case management./liliRequires knowledge of and experience working with community agencies and programs./liliCurrent and valid professional BSW, MSW or LVN, RN, licensure in the State of CA./liliRequires experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process./liliRequires strong problem-solving and customer service skills./liliMust be a CA Resident and must reside in CA while employed/liliCurrent and valid California (CA) Drivers License./liliMust use personal vehicle and current vehicle registration required./liliProof of auto insurance required, must maintain CA minimum insurance coverage./liliCPR Certification required/li/ulpPreferred Qualifications:/pulliMasters degree in Nursing, Social Work, Public Health, or Healthcare Administration./liliCertification in Case Management (CCM) or equivalent credential./liliExperience working within Californias healthcare system and familiarity with state-specific healthcare policies./liliDemonstrated expertise in managing chronic disease populations and complex care cases./liliBilingual abilities, particularly in Spanish, to effectively communicate with diverse patient populations./li/ulpResponsibilities:/pulliDevelop, implement, and monitor individualized care plans for patients with complex medical needs./liliCoordinate communication among healthcare providers, patients, and families to ensure continuity of care./liliConduct comprehensive assessments to identify patient needs, risks, and barriers to care./liliFacilitate referrals to appropriate healthcare services and community resources./liliTrack patient progress and outcomes, adjusting care plans as necessary to meet evolving needs./liliEnsure compliance with healthcare regulations, policies, and quality standards./liliProvide education and support to patients and families regarding treatment plans and health management./liliCollaborate with insurance providers and case management teams to optimize resource utilization./li/ul/div