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Case Manager - Integrated Care
Ref No.: 17-03983
Location: Florida
Start Date / End Date: 05/04/2017 to 09/04/2017
Description:

Requirements/Certifications:
This is a Temp-To-Permanent position!!!
The need for this position is due to growth. The candidate will work an 8 hr. shift between the hours of 8am – 6pm. The manager will determine the set hours; however, the candidate must be flexible with starting between the hours of 8am – 9:30am. There is a 30 min. lunch and 2 breaks, each at 15 mins. This management department focused on high risk co-morbidity members who experience increased hospital visits due to behavioral health illness and other complex illnesses such as hypertension, diabetes, HIV, asthma, heart failure, cancer, etc. The selected candidate will manage 50-60 cases. The manager is looking for an LCSW, LMFT, LMHP or RN. The selected candidate must have behavioral health exp and experience with some of the illnesses listed above. Annual FTE salary is around $65K. A master degree is required for all professional EXCEPT for the RN. A bachelor’s degree is required for the RN. 5-10% of the position requires field work in which mileage is reimbursed at $.54/mile. Experience that will stand out on the resumes are Community Work, Case management, Field Work, Home Health, Continued Care, Different Levels of Care, and Health Plans.
The selected candidate must be able to perform the below.
Responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates with the members PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning. Will be expected to coach and mentor less experienced Care Managers. 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. 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 in compliance with regulatory policies and procedures. Gathers and summarizes data for reports.
Do not submit your candidate above the target rate of $45.30. The system will automatically deduct the 2.4% admin fee. The mark up between the Supplier and Resource rate should not exceed 45%.