Care Manager: Medicaid Access & Care Coordination

Talentify; Miami (FL); On-site; USD 52,000 - 68,000; Full time

Job summary

Independent Living Systems (ILS) seeks a dedicated Care Manager to coordinate comprehensive care plans for individuals needing long‑term support within healthcare and social services. You will assess needs, create discharge plans, and work with multidisciplinary teams to ensure smooth transitions and Medicaid access, aiming for optimal, patient‑centered outcomes.

Ideal candidates bring case management experience and knowledge of Medicaid policies to advocate for members and monitor progress

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

• 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.

Skills

Case management experience

Medicaid knowledge

EHR familiarity

Trauma-informed care training

Education

Bachelor’s degree in Social Work, Human Services, Nursing, or related field

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

Job description

Independent Living Systems (ILS) seeks a dedicated Care Manager to coordinate comprehensive care plans for individuals needing long‑term support within healthcare and social services. You will assess needs, create discharge plans, and work with multidisciplinary teams to ensure smooth transitions and Medicaid access, aiming for optimal, patient‑centered outcomes.

Ideal candidates bring case management experience and knowledge of Medicaid policies to advocate for members and monitor progress