Remote Case Manager - Integrated Care

Integrated Resources, Inc

Fort Lauderdale, Florida(remote)

JOB DETAILS
JOB TYPE
Full-time
SKILLS
Case Management, Clinical Practices/Protocols, Communication Skills, Community Support, Computer Skills, Data Collection, Disease, Documentation, Establish Priorities, Facilities Planning, Follow Through, Health Plan, Licensed Clinical Social Worker (LCSW), Medicaid, Multitasking, Needs Assessment, Nursing, Organizational Skills, Performance Management, Quality Assurance, Registered Nurse (RN), Regulatory Compliance, Risk, Set Goals, Social Work, Time Management, Typing
LOCATION
Fort Lauderdale, Florida
POSTED
1 day ago
Remote Case Manager - Integrated CareTitle: Remote Case Manager - Integrated CareLocation: Fort Lauderdale, FL 33304Duration: 6+ monthsLicense: LCPC, LCSW or RN. The RN requires a min. bachelor's degree. All of other licenses require a master's degree.Temp-to-perm remote positionHours: 8 AM – 5 PMEssential functions:Completes relevant screening and assessment. Ensures continuity of care for newly enrolled members. Identifies and prioritizes the members' needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the member ability to self-manage to the greatest extent possible.Develops, implements and monitors the Person-Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate. Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings. Serves as the primary point of member contact.Assess member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports. As the lead of the interdisciplinary team facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures. Gathers and summarizes data for reports. Supports initiatives of the Quality Assessment and Performance Improvement Committee. All other duties as assigned.Requirements/certifications:Candidates must be local to the Fort Lauderdale, FL area, which is in Broward County. There are occasional field visits with an average of 1 or 2/week.Coordinating care, case management, clinical, and Medicaid experience will stand out of the resumes for the manager. Candidates must be comfortable with working in a cubicle environment, comfortable with typing and talking at the same time and comfortable navigating through multiple systems.MUST be computer literate. To be successful in the position, the selected candidate must be able to apply principals of Care Management and Person Centered Service Planning, apply Care Guidelines and other applicable, evidenced-based clinical guidelines, understand and apply coverage guidelines and benefit limitations, be familiar with clinical needs and disease processes for the member and lead an interdisciplinary care team.The successful candidate will have strong organizational skills and have the ability to prioritize and follow through on multiple projects in a timely manner.

About the Company

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Integrated Resources, Inc