RN Care Manager

Socket.dev; Clearwater (FL); On-site; USD 70,000 - 95,000; Full time

Job summary

Independent Living Systems (ILS) is seeking an RN Care Manager to coordinate care for Medicaid and Medicare Special Needs Programs in Florida. You will assess needs, develop person-centered plans, and collaborate with providers, families, and community resources to ensure optimal outcomes.

Responsibilities include care plan development, progress monitoring, documentation, and ensuring adherence to program requirements while advocating for patients and promoting independence and quality of life.

Qualifications

• Florida-licensed RN with 2+ years caring for disabled and elderly populations.
• Experience in care management or care coordination.
• Proficiency with electronic health records (EHR).

Responsibilities

• Assess member needs and identify care gaps to develop a person-centered plan.
• Coordinate access to services across the care continuum.
• Monitor progress and adjust plans to evolving needs and goals.
• Collaborate with providers, families, and community resources for seamless care.
• Provide education and support on resources, treatment adherence, and self-advocacy.
• Maintain accurate documentation and ensure compliance with policies and standards.
• Stay informed about current care trends and program requirements.
• Perform other duties as assigned.

Skills

Care coordination

EHR proficiency

Communication skills

Job description

We are seeking an RN 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 RN Care Manager plays an essential role in managing and coordinating comprehensive care for individuals enrolled in Medicaid and Medicare Special Needs Programs. The RN Care Manager ensures members receive coordinated, person-centered services that promote their health, well-being, independence, and quality of life. Core responsibilities include assessing individual needs, developing person-centered care and discharge plans, coordinating services and supports, facilitating seamless transitions between care settings, and monitoring progress to adjust care plans as needed. The RN Care Manager collaborates closely with multidisciplinary teams, including healthcare providers, social workers, families, and community resources, to streamline access to care and necessary services. Acting as an advocate and liaison between members, their families, and the care delivery system, the RN Care Manager helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout the member’s care journey.

Minimum Qualifications:

• State of Florida licensed registered nurse (RN) with at least two (2) years of experience with disabled and elderly populations.
• 2 years’ experience in care management, care coordination or a related healthcare role.
• Proficiency in electronic health records (EHR) and basic computer applications.

Preferred Qualifications:

• Certification in Case Management (CCM) or equivalent.
• Familiarity with healthcare systems, community resources, and social service programs relevant to the disabled and elderly populations.
• Experience working within multidisciplinary healthcare teams and community-based organizations.
• Familiarity with quality improvement metrics and performance measures.
• Familiarity with trauma-informed care or behavioral health interventions and supports.

Responsibilities:

• Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
• Assess member needs, identify care gaps, and assist members in the development of a person-centered care plan.
• Monitor members progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
• Coordinate access to services and care across the continuum and facilitate communication with providers and community resources.
• Provide education and support on available resources, treatment adherence, disease management and self-advocacy.
• Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
• Stay informed about current treatment trends, research, and community resources to provide up-to-date information.
• Perform other duties as assigned.