Care Manager

Job Description

Job Description

About the Role:

The Care Manager plays an essential role in managing and coordinating comprehensive care for eligible individuals requiring medically necessary long-term care services and supports. The Care Manager ensures members receive coordinated, person-centered services that promote their health, well-being, independence, and quality of life. Core responsibilities include assessing individual needs, developing person-centered care and discharge plans, coordinating services and supports, facilitating seamless transitions between care settings, and monitoring progress to adjust care plans as needed. The Care Manager collaborates closely with multidisciplinary teams, including healthcare providers, social workers, families, and community resources, to streamline access to care and necessary services. Acting as an advocate and liaison between members, their families, and the care delivery system, the Care Manager helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout the member’s care journey.

Minimum Qualifications:

• With the following qualifications, have a minimum of two (2) years of relevant experience:

• Bachelor’s degree in social work, sociology, psychology, gerontology, or related social services field.
• Bachelor's degree in a field other than social science.
• Registered Nurse (RN) licensed to practice in the state of Florida.

• Licensed Practical Nurse (LPN) with a minimum of four (4) years licensed to practice in the state of Florida.
• Relevant professional human service experience may substitute for the educational requirement on a year-for-year basis.
• Proficiency in electronic health records (EHR) and basic computer applications.  

Preferred Qualifications:

• Master’s degree in social work, public health or related field.
• Certification in Case Management (CCM) or equivalent.
• Experience working with diverse populations in community-based or facility (ALF or SNF) settings.
• Familiarity with trauma-informed care or behavioral health interventions and supports.

Responsibilities:

• Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
• Serve as the primary point of contact for the members and their authorized representatives.
• Assess member needs, identify care gaps, and assist members and their families in the development of a person-centered care plan.
• Monitor members progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
• Coordinate services and care across the continuum and facilitate communication with providers and community resources.
• Provide education and support on available resources and self-advocacy.
• Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
• Perform other duties as assigned.