Care Manager

Position Title : Care Manager

Work Location : Remote- Region 11- North Miami Prefer Miami / Dade

Assignment Duration : 3 months

Work Schedule : 8am - 5pm, 1 hour lunch No overtime.

Work Arrangement : Remote (with field visits)

Position Summary : Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and / or facilitates the care plan / service plan for the best outcome, which may include behavioral health and social determinant needs

Background & Context :

May perform telephonic, digital, home and / or other site visits outreach to assess member needs and collaborate with resources

Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders

Key Responsibilities :

Coordinates as appropriate between the member and / or family / caregivers, community resources, and the care provider team to ensure identified services are accessible to members

Monitors care plans / service plans and / or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan / service plan based on identified member needs

Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services

Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs

Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner

Performs other duties as assigned

Complies with all policies and standards

Candidate Requirements :

Education / Certification Required : Social Work- LCSW / LMHC license active in Florida Preferred : N / A

Licensure Required : N / A Preferred : N / A

Position is offered by a no fee agency.