SMI Care Manager

Job Description

Job Description

We are seeking an SMI Care Manager 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.

About the Role:

The SMI Care Manager plays an essential role in managing and coordinating comprehensive care for individuals with Serious Mental Illness (SMI). The SMI 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 SMI 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 SMI 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:

• State of Florida licensed registered nurse (RN) with at least two (2) years of experience with SMI population.
• State of Florida licensed practical nurse (LPN) with four (4) years of experience with SMI population.
• Master’s degree in social work (MSW) with at least one (1) year of professional related experience with SMI population.
• 2 years’ experience in care management, care coordination or a related healthcare role.
• Knowledge of SMI medical terminology, treatment options, and psychosocial impacts.
• Proficiency in electronic health records (EHR) and basic computer applications.

Preferred Qualifications:

• Certification in Case Management (CCM) or Mental Health Care Coordination.
• Familiarity with healthcare systems, community resources, and social service programs relevant to SMI care.
• Experience working within multidisciplinary healthcare teams and community-based organizations.
• Familiarity with trauma-informed care or behavioral health interventions and supports.

Responsibilities:

• Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
• Assess member needs, identify care gaps, and assist members 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 access to services and care across the continuum and facilitate communication with providers and community resources.
• Provide education and support on available resources, treatment adherence, disease management and self-advocacy.
• Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
• Stay informed about current SMI research, treatment protocols, and community resources to provide up-to-date information.
• Perform other duties as assigned.