Care Manager: Patient-Centered Care & Discharge Planning

Independent Living Systems, llc; Port Saint Joe (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

Independent Living Systems (ILS) is seeking a Care Manager to coordinate comprehensive care plans for individuals needing long-term support, focusing on assessments, discharge planning, and smooth transitions across care settings.

You will collaborate with physicians, social workers, and community resources to facilitate Medicaid access, advocate for members, and monitor progress to ensure care aligns with guidelines and preferences.

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.

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

Healthcare coordination

Medicaid knowledge

EHR familiarity

Trauma-informed care

Education

Bachelor’s degree in Social Work / related field

MSW or related

Tools

EHR systems

Care coordination software

Job description

Independent Living Systems (ILS) is seeking a Care Manager to coordinate comprehensive care plans for individuals needing long-term support, focusing on assessments, discharge planning, and smooth transitions across care settings.

You will collaborate with physicians, social workers, and community resources to facilitate Medicaid access, advocate for members, and monitor progress to ensure care aligns with guidelines and preferences.