Care Manager

Job Description

Job Description

We are seeking a 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 Care Manager plays a pivotal role in coordinating and managing comprehensive care plans for individuals requiring long-term support within the healthcare and social assistance sector. This position focuses on assessing member's needs, developing personalized discharge plans, and ensuring seamless transitions between care settings to promote optimal health outcomes. The Care Manager collaborates closely with multidisciplinary teams, including healthcare providers, social workers, and community resources, to facilitate access to Medicaid and other support services. By advocating for members and monitoring their progress, the Care Manager ensures that care delivery aligns with both clinical guidelines and individual preferences. Ultimately, this role aims to enhance the quality of life for members by providing compassionate, patient-centered case management and support throughout their care journey.

Minimum Qualifications:

• Bachelor’s degree in Social Work, Human Services, Nursing, or a related field.
• Experience in case management within healthcare or social services settings.
• Knowledge of Medicaid policies and procedures.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

• Master’s degree in Social Work (MSW) or related discipline.
• Certification in Case Management (CCM) or equivalent.
• Experience working with diverse populations in community-based settings.
• Familiarity with electronic health records (EHR) and care coordination software.
• Training in trauma-informed care or behavioral health interventions.

Responsibilities:

• Conduct comprehensive assessments of members physical, mental, and social needs to develop individualized care and discharge plans.
• Coordinate with healthcare providers, social service agencies, and community resources to facilitate access to Medicaid and other benefits.
• Monitor members progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
• Provide education and support to members and their families regarding available services, treatment options, and long-term care planning.
• Maintain detailed documentation and case records in compliance with regulatory standards and organizational policies.