Care Manager

Job Description

Job Description

ABOUT US

Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources. . 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.

Position Summary

The Care Manager is responsible for care management services of members enrolled in Florida Community Care (FCC) to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and positive outcomes. The Care Manager behaves in a professional manner, and consistently demonstrates and promotes the values of respect, honesty, care and dignity for the members as well as all other team members involved in the servicing of FCC clients. The Care Manager is involved in care management services for the diverse member population that FCC services. The Care Manager will be responsible for the development and ongoing maintenance of individualized care plans using available data.

Essential Functions

• Completes initial assessment and annual assessment using the Florida 701B. All 701B assessments will be done face-to-face. The assessment helps to identify the client’s conditions and resources.
• Completed supplemental assessments.
• Develops and reviews care plan in conjunction with client / client’s representative.
• Arranges appropriate services and coordinates service delivery with other professionals involved with service provision.
• Encourages and provides education and training to caregivers, family members or friends.
• Completes and maintains a client record with progress reports and forms related to service provision and ongoing documentation.
• Interacts telephonically with member to maintain member’s individualized care plan using the available data.
• Maintains the following caseloads (as per state requirements) :

Ratio of 1 care manager to sixty (60) members for enrollees residing in the community.

Education Requirements

Required Skills

EEO STATEMENT In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.