Clinical Care Manager (9403)

Lutheran Services Florida•Jacksonville, FL

About The Position

Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. LSF is seeking a talented Clinical Care Manager who wants to make an impact in the lives of others. Purpose and Impact: The role of Clinical Care Manager is to implement all utilization management and clinical management functions and to work directly for the Director of Program Operations with tasks assigned. This position is responsible for managing quality within the network of care, including management of higher levels of care within the network as well as involvement in credentialing and subcontractor oversight.

Requirements

Master’s degree in social work, mental health counseling, psychology or nursing and appropriate state licensure.
Three to five years of experience in providing clinical care to vulnerable populations.
Experience with both mental health and substance abuse services.
Proven ability to analyze and interpret clinical patient information.
Knowledge of Evidence Based Interventions.
Experience with providing both mental health and substance abuse services to vulnerable populations.
Must demonstrate sensitivity to our service population’s cultural and socioeconomic characteristics and needs.
Reports to the Director of Program Operations.
Team player with providers and co-workers.
Accurate, complete and timely submission of all required reports.
Cost effective operations.

Responsibilities

Assists the Director of Program Operations with tasks as assigned.
Implement a Quality Improvement/Clinical program that is designed to expand, improve, and monitor services for substance abuse and mental health clients in NE FL.
Implement a continuous quality improvement process throughout the Quality Improvement/Clinical function, focusing on systems/process improvement to better serve both internal and external customers/clients.
Interpret and administer pertinent federal and state rules, regulations, and statutes in accordance with sound clinical can contract management principles.
Provide direction on technical assistance and training needs of the system of care providers.
Provide direction on the implementation of Evidence Based Practices throughout the system of care.
Directs the oversight of critical incidents within the provider network.
Develops appropriate strategies for addressing issue of risk management with regards to client care.
Analyze and compile detailed reports regarding utilization management data, trends and quality improvement needs.
Participate in clinical determinations, including denials, outlier management, retrospective clinical chart reviews and real-time utilization oversight.
Participate in addressing the technical assistance and training needs of the system of care providers.
Participate in the implementation of Evidence Based Practices throughout the system of care.
Develops relationships and collaborations with contracted providers.
Provide leadership, direction, and management to all direct reports in order to support and enhance their ongoing development, production, and operation of their departments.
Participate in the development of the agency’s plans and programs as a strategic partner.
Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies and regulatory action.
Ensure that department staff are trained in and utilizing best practice methods, processes and activities in order to most efficiently and effectively accomplish tasks.
Participate in statewide conferences and meetings as deemed appropriate.
Other tasks and duties as assigned.

Benefits

Medical, Dental and Vision
Telehealth (24/7 online access to Doctors)
Employee Assistance Program (EAP)
Employer paid life insurance (1X salary)
13 paid holidays + 1 floating holiday
Generous PTO policy (starting at 16 working days a year)
Note: Head Start employees paid time off and holiday schedule may differ
403(b) Retirement plan with 3% discretionary employer match OR 3% student loan repayment reimbursement
Tuition reimbursement
LSF is proud to be an equal opportunity employer.
Lutheran Services Florida is mandated to perform background screenings for employment in accordance with the Florida Care Provider Background Screening Clearinghouse as outlined in Section 435.12, Florida Statutes.
Additionally, pursuant to House Bill 531 (2025), Lutheran Services Florida must ensure that all job vacancy postings and advertisements include a clear and conspicuous link to the AHCA Clearinghouse website and its requirements.
For more information on background screening requirements please visit: https://info.flclearinghouse.com