MMA Care Manager

Job Description

Job Description

We are seeking an MMA 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 MMA Care Manager plays a critical role in coordinating and managing comprehensive care plans for members enrolled in Managed Medical Assistance (MMA) programs. This position focuses on improving member outcomes by assessing individual health needs, facilitating access to appropriate healthcare services, and ensuring adherence to treatment protocols. The Care Manager acts as a liaison between member, healthcare providers, and insurance entities to optimize care delivery and resource utilization. By monitoring member progress and addressing barriers to care, the role contributes to enhanced quality of life and reduced hospital readmissions. Ultimately, the MMA Care Manager supports the organization's mission to provide high-quality, member-centered care within the Medicare Advantage framework.

Minimum Qualifications :

• Bachelor’s degree in Nursing, Social Work, Public Health, or a related healthcare field.
• Current and valid professional licensure or certification relevant to care management (e.g., RN, LPN or MSW).
• Minimum of 2 years experience in case management, care coordination, or a related healthcare role.
• Strong knowledge of Medicare Advantage programs, healthcare regulations, and care management best practices.
• Proficiency in electronic health records (EHR) systems and care management software.
• Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications :

Responsibilities :