Community Care Manager Non-Member Facing

Duties: As part of the Communitybased 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 incommunity 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 postemployment. Proficient in MS Office (Word Excel and Outlook) within a Windowsbased environment Internet applications electronic medical records (EMRs) and electronic documentation programs. Ability to travel extensively within assigned communities in Florida. Valid drivers license required. Must reside in the Palm Beach or St. Lucie Florida Counties. Must be able to complete monthly facetoface visits in the members 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.

Schedule Notes: 8am5pm EST
Required Skills: EXCELCOMMUNITY CAREMS OFFICEPEDIATRICELECTRONIC MEDICAL RECORDS
Additional Skills: COACHINGREGISTERED NURSEDOCUMENTATIONMICROSOFT OFFICESUBJECT MATTER EXPERTMEDICAL MANAGEMENTRN

Hours Per Day: 8.00
Hours Per Week: 40.00
Languages: English( Speak Read Write )
Department: LACAR: LACAR2100156
Job Category: NonClinical Nursing/Tech