Duties :
As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members / consumers appropriate for care coordination and / or case management program services in a community setting.
The Care Manager collaborates with all levels of Medical Management department staff for appropriate integration of Community Based Medical Management programs with other existing and planned initiatives, aligning with annual operating plan and strategic growth initiatives.
The Care Manager provides in home environmental and physical assessments for high risk members to identify unmet needs and barriers to care and to establish a care management plan of care.
The Care manager may provide basic clinical care within scope of practice in collaboration with members medical management team.
Establishes point of contacts in collaboration with member community medical / behavioral health teams. Works closely with and directs and supervises the work of Community Care Connectors as they deliver in-community care, support pathways to establish connections to appropriate services and provide coaching and education for chronic disease management.
May serve as a program subject matter expert and / or assist the Community Care Program Manager with operational responsibilities.
Skills :
- Minimum of three years of similar level or related experience including demonstrated expertise conducting health assessments and delivering care in a clinical and community environment.
- Prior experience in leading teams in a matrixed environment
- Requires completion of medical exam / testing as required by Federal and State regulations upon conditional offer of employment and post-employment.
- Proficient in MS Office (Word, Excel, and Outlook) within a Windows-based environment, Internet applications, electronic medical records (EMRs), and electronic documentation programs.
- Ability to travel extensively within assigned communities in Florida. Valid driver's license required.
- Must reside in the Palm Beach or St. Lucie Florida Counties.
- Must be able to complete monthly face-to-face visits in the member's home.
- Valid Drivers License and automobile insurance required.
Education :
State of Florida Registered Nurse (RN) with at least two years Pediatric experience with medically complex children, or have a Masters Degree in Social Work (MSW) and be a Licensed Clinical Social Worker (LCSW) in the state of Florida with at least one year of related professional experience with medically complex children required.
Skills : Required
- EXCEL
- COMMUNITY CARE
- MS OFFICE
- PEDIATRIC
- ELECTRONIC MEDICAL RECORDS
Additional
- COACHING
- REGISTERED NURSE
- DOCUMENTATION
- MICROSOFT OFFICE
- SUBJECT MATTER EXPERT
- MEDICAL MANAGEMENT
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Community Care Manager (Non-Member Facing)
As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home environmental and ph...
Community Care Manager (Non-Member Facing)
Duties:</b> As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home en...
Community Care Manager (Non-Member Facing)
As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home environmental and ph...
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Role Overview:</b></div> <ul> <li>The Community Care Manager will work as part of the Community-based Care Management program, coordinating care for high-risk members, primarily in a community setting. Oversee the work of Community Care Connectors, ensuring delivery of commun...
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As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home environmental and ph...
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As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. Provides in-home environmental and physical assessment...
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Job Summary: As part of the Community-based Care Management program, the Community Care Manager plays a vital role in identifying members/consumers suitable for care coordination and case management services in a community setting. The Community Care Manager will also lead and supervise Community Ca...
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The Community Care Manager plays a key role in coordinating care and managing high-risk members in a community-based setting. Identify members for care coordination and case management services in a community setting. Supervise Community Care Connectors in delivering care and education on chronic di...
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As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home environmental and ph...
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As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager provides in home environmental and ph...