Pediatrics Care Manager LVN/LPN Hybrid in Port St Lucie County
About The Position
Provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate integrated delivery of member care across the continuum. The role strives to ensure members progress toward desired outcomes and contributes to the strategy of providing quality, cost-effective member care. The position completes member assessments within regulated timelines, develops and monitors care plans in collaboration with members, caregivers, physicians, and other appropriate health care professionals, and maintains an ongoing member caseload. It coordinates services including behavioral health, long-term services and supports, and home and community resources. Contacts may be conducted by telephone, face-to-face, or home visits as required. An estimated 25–40% local travel may be required based on state or contractual requirements.
Requirements
- At least 2 years of health care experience, preferably in care management or in a medical or behavioral health setting, or an equivalent combination of relevant education and experience.
- Clinical licensure or certification only when required by state contract, regulation, business operating model, or state board licensing mandates.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
- Demonstrated knowledge of community resources.
- Ability to work proactively and with attention to detail.
- Ability to work in varied settings and adapt when working with diverse populations, personalities, and personal situations.
- Ability to work independently with minimal supervision and demonstrate self-motivation.
- Ability to respond to communications and remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, ability to handle multiple projects simultaneously, and adaptability to change.
- Excellent problem-solving and critical-thinking skills.
- Strong verbal and written communication skills.
- Proficiency with Microsoft Office and applicable software programs.
Responsibilities
- Complete member assessments within regulated timelines and identify members who may qualify for care coordination or care management based on assessment triggers.
- Develop and implement care plans collaboratively with members, caregivers, physicians, health care professionals, and member support networks.
- Conduct telephonic, face-to-face, or home visits as required.
- Monitor care plans, evaluate their effectiveness, document interventions and goal achievement, and recommend changes.
- Maintain an ongoing member caseload and conduct regular outreach and management.
- Promote integration of behavioral health, long-term services and supports, and home and community resources to enhance continuity of care.
- Facilitate interdisciplinary care team meetings and informal interdisciplinary collaboration.
- Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
- Assess barriers to care and provide coordination and assistance to address member concerns.
- Collaborate with licensed care managers and leadership as needed or required.
Benefits
- Competitive benefits and compensation package
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
