Care Manager

Talentify; Sarasota (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

Independent Living Systems (ILS) seeks a dedicated Care Manager to coordinate comprehensive care plans for individuals needing long-term support in healthcare and social services. You will assess needs, develop discharge plans, collaborate with providers and community resources to facilitate access to Medicaid and other benefits, and monitor progress to ensure patient-centered care.

This role emphasizes compassionate support, regulatory compliance, and documentation to promote quality of life

Qualifications

• Bachelor’s degree in Social Work, Human Services, Nursing, or 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.

Responsibilities

• Assess members' physical, mental, and social needs to plan care and discharge.
• Coordinate with healthcare providers, social service agencies, and community resources to access Medicaid and benefits.
• Monitor members' progress and adjust care plans as needs change to ensure continuity of care.
• Educate members and families on services, options, and long-term care planning.
• Document cases per regulatory standards and organizational policies.

Skills

Case management experience

Medicaid navigation

Interdisciplinary collaboration

Regulatory compliance knowledge

Education

Bachelor's degree in Social Work / Human Services / Nursing

Master's degree in Social Work (MSW) or related discipline

CCM certification (preferred)

Tools

EHR systems

Care coordination software

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.