Case Manager

InnovaCare • Jacksonville, FL

20d • Hybrid

About The Position

The Case Manager will be responsible for assessing and responding to patient and family needs, facilitating patient engagement in their healthcare, and managing high-risk patient populations. This role requires a strong understanding of managed care concepts and practices, including familiarity with Medicare Advantage products, programs, and services. The position involves establishing professional and collaborative relationships with patients, providers, and insurance organizations, and requires basic computer skills, including proficiency in the Microsoft Office suite.

Requirements

• Current Nursing License within the state in which you work or Compact License, RN preferred, may consider LPN with Managed Care experience outside of clinical setting.
• Minimum two years clinical practice.
• One (1) year care (case) management experience or will work towards and maintain a Care (Case) Management Certification.
• Continuing education in Care (Case) Management and all other applicable professional licensure.
• CPR/BLS certification.
• Valid driver’s license.
• Ability to lift to 50 pounds.
• Ability to push or pull heavy objects using up to 100 pounds of force.
• Ability to stand or sit for extended periods of time.
• Ability to use fine motor skills to operate equipment and/or machinery.
• Ability to properly drive and operate a vehicle.
• Ability to receive and comprehend instructions verbally and/or in writing.
• Ability to use logical reasoning for simple and complex problem solving.
• Basic computer skills, including working knowledge of the Microsoft Office suite.

Nice To Haves

• Clinical knowledge of chronic conditions.
• Knowledge of available community resources.
• Strong knowledge of managed care concepts.
• Strong written and verbal skills with patients, physicians and other stakeholders including techniques in facilitating patient engagement in their healthcare.
• General knowledge of care (case) management practices, including familiarity with Medicare Advantage products, programs, and services.
• Certification as a diabetes educator, nutritionist or social worker or other specialty.

Responsibilities

• Assess and respond to patient and family needs in a timely manner.
• Facilitate patient engagement in their healthcare.
• Manage high-risk patient populations.
• Establish professional and collaborative relationships with patients, providers, and insurance organizations.
• Utilize critical thinking and problem-solving skills.
• Travel approximately 30% of the time.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED