About this role
Role Overview
- Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel
- Assesses and evaluates member's needs and requirements in order to establish a member specific care plan
- Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being
- Planning and implementing interventions to meet those needs
- Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals
- Guides members/families towards resources appropriate for their care
- Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams and others involved in the member's care as appropriate and required by our comprehensive contract
Requirements
- Bachelor's Degree with at least 2 years of relevant experience (Health Services, Social Work, Psychology)
- Registered Nurse (RN), licensed in the state of Florida with at least 2 years of relevant experience.
- Licensed Practical Nurse (LPN), licensed in the state of Florida, with at least 4 years of relevant experience
- Case Worker with a minimum of 6 years of Health Services/Case Management Experience
- Bilingual English/Spanish with ability to pass a Language Proficiency Exam
- Prior experience with Medicare & Medicaid recipients
- Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook
- AHCA Fingerprint Required.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance