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. Responsibilities include assessing individual needs, developing care and discharge plans, coordinating services and supports, facilitating transitions between care settings, and monitoring progress to adjust care plans as needed. The RN Care Manager works with multidisciplinary teams—including healthcare providers, social workers, families, and community resources—to streamline access to care and services. The role also advocates for members and serves as a liaison between them, their families, and the care delivery system, helping ensure care aligns with clinical guidelines, member preferences, and program requirements. The position is with Independent Living Systems (ILS), which, along with its affiliated health plans Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for vulnerable populations.
Requirements
- 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 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 members’ progress and adjust care plans as needed 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.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
