Community Care Manager - Global Force USA

 

Hybrid/Remote - Candidate would have to live in Palm Beach/St Lucie/Indian River counties as this is a Field based role.  Candidate will need to have a home office but will be expected to work in the field conducting Face to Face home visits for our members. Candidate will need to have a reliable transportation and willing to drive to Palm Beach, St Lucie and Indian River county.

 

State of Florida Registered Nurse (RN) with at least two years Pediatric experience with medically complex children, or have a Masters Degree in Social Work (MSW) and be a Licensed Clinical Social Worker (LCSW) in the state of Florida with at least one year of related professional experience with medically complex children required

 

Duties: As part of the Community-based Care Management program, the Community Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager collaborates with all levels of Medical Management department staff for appropriate integration of Community Based Medical Management programs with other existing and planned initiatives, aligning with annual operating plan and strategic growth initiatives.  The Care Manager provides in home environmental and physical assessments for high risk members to identify unmet needs and barriers to care and to establish a care management plan of care.  The Care manager may provide basic clinical care within scope of practice in collaboration with members medical management team. Establishes point of contacts in collaboration with member community medical/behavioral health teams.  Works closely with and directs and supervises the work of Community Care Connectors as they deliver in-community care, support pathways to establish connections to appropriate services and provide coaching and education for chronic disease management. May serve as a program subject matter expert and/or assist the Community Care Program Manager with operational responsibilities.

Skills: 

Minimum of three years of similar level or related experience including demonstrated expertise conducting  health assessments and delivering care in a clinical and community environment.

Prior experience in leading teams in a matrixed environment Requires completion of medical exam/testing as required by Federal and State regulations upon conditional offer of employment and post-employment.

Proficient in MS Office (Word, Excel, and Outlook) within a Windows-based environment, Internet applications, electronic medical records (EMRs), and electronic documentation programs.

Ability to travel extensively within assigned communities in Florida.  Valid driver's license required.

Must reside in the Palm Beach or St. Lucie Florida Counties.

Must be able to complete monthly face-to-face visits in the member's home.

Valid Drivers License and automobile insurance required.

 

Keywords: 

Education: 

State of Florida Registered Nurse (RN) with at least two years Pediatric experience with medically complex children, or have a Masters Degree in Social Work (MSW) and be a Licensed Clinical Social Worker (LCSW) in the state of Florida with at least one year of related professional experience with medically complex children required.

 

Skills and Experience:

Required Skills:  

EXCEL

COMMUNITY CARE

MS OFFICE

PEDIATRIC

ELECTRONIC MEDICAL RECORDS

Additional Skills: 

COACHING

REGISTERED NURSE

DOCUMENTATION

MICROSOFT OFFICE

SUBJECT MATTER EXPERT

MEDICAL MANAGEMENT

RN

Languages: 

English

             Read

             Write

             Speak

Patents: No

Publications: No

Veteran Status: No

# of Positions: 1

 

Location:

Palm Beach Gardens, FL

11631 Kew Gardens Avenue, 

 

Schedule:

Start Date: 10/28/2024

Estimated End Date: 01/31/2025

Hours Per Week: 40.00

Hours Per Day: 8.00

Interview Notes: 8am-5pm EST

Financials: