RN Care Manager
About The Position
The RN Care Manager manages and coordinates comprehensive care for individuals enrolled in Medicaid and Medicare Special Needs Programs. The role ensures members receive coordinated, person-centered services that promote health, well-being, independence, and quality of life. The RN Care Manager assesses individual needs, develops person-centered care and discharge plans, coordinates services and supports, facilitates transitions between care settings, and monitors progress to adjust care plans as needed. The position collaborates with multidisciplinary teams, including healthcare providers, social workers, families, and community resources, to streamline access to care and necessary services. Acting as an advocate and liaison between members, families, and the care delivery system, the RN Care Manager helps ensure care aligns with clinical guidelines, individual preferences, and program requirements while supporting optimal outcomes throughout each member’s care journey.
Requirements
- State of Florida licensed registered nurse (RN).
- At least two years of experience with disabled and elderly populations.
- Two years of experience in care management, care coordination, or a related healthcare role.
- Proficiency in electronic health records (EHR) and basic computer applications.
Nice To Haves
- Certification in Case Management (CCM) or equivalent.
- Familiarity with healthcare systems, community resources, and social service programs relevant to disabled and elderly populations.
- Experience working within multidisciplinary healthcare teams and community-based organizations.
- Familiarity with quality improvement metrics and performance measures.
- Familiarity with trauma-informed care or behavioral health interventions and supports.
Responsibilities
- Demonstrate commitment to the organization’s mission and model ILS Experience Standards of Excellence.
- Assess member needs, identify care gaps, and assist members in developing a person-centered care plan.
- Monitor member progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
- Coordinate access to services and care across the continuum and facilitate communication with providers and community resources.
- Provide education and support on available resources, treatment adherence, disease management, and self-advocacy.
- Maintain accurate documentation and ensure compliance with policies, regulations, and quality standards.
- Stay informed about current treatment trends, research, and community resources to provide up-to-date information.
- Perform other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
