RN Care Manager

Independent Living Systems, llc; Florida; In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Independent Living Systems (ILS) is seeking an RN Care Manager in Pinellas Park, FL to coordinate care for Medicaid and Medicare Special Needs Programs. You will assess needs, develop person-centered plans, and partner with providers and families to ensure seamless service delivery.

The role emphasizes advocacy, care coordination, and adherence to program guidelines to promote health and quality of life for vulnerable populations.

Competenze

• Florida RN license with 2+ years of experience with disabled and elderly populations.
• 2 years’ experience in care management or related healthcare role.
• Proficiency in electronic health records (EHR) and basic computer applications.
• Preferred CCM certification or equivalent.

Mansioni

• Assess member needs and develop person-centered care plans.
• Coordinate services and supports across the care continuum.
• Monitor progress and adjust care plans as needed for ongoing wellness.
• Collaborate with healthcare providers, social workers and families.
• Educate members on available resources and disease management.
• Maintain compliant documentation and quality standards.
• Stay informed on current treatment trends and community resources.

Conoscenze

Care management

RN license

EHR proficiency

Care coordination

Descrizione del lavoro

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

RN Care Manager

Health Plan Care Management Full Time Professional Pinellas Park, FL, US

2 days ago Requisition ID: 3420

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.