Job Description
Job Description
We are seeking an RN Care Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The RN Care Manager plays a pivotal role in coordinating and managing comprehensive care plans for members within the healthcare services industry. This position focuses on improving member outcomes by assessing individual health needs, facilitating communication among multidisciplinary teams, and ensuring continuity of care across various healthcare settings. The RN Care Manager acts as a liaison between members, families, and healthcare providers to advocate for member-centered care and optimize resource utilization. By monitoring member progress and adjusting care plans accordingly, the RN Care Manager helps reduce hospital readmissions and enhances overall member satisfaction. This role requires a proactive approach to problem-solving and a commitment to delivering high-quality, compassionate care.
Minimum Qualifications:
- Current and valid Registered Nurse (RN) license in the state of practice.
- Bachelor of Science in Nursing (BSN) degree or equivalent.
- Minimum of 2 years clinical nursing experience, preferably in case management, care coordination, or a related field.
- Strong knowledge of healthcare systems, member care standards, and regulatory requirements.
- Proficiency in electronic health records (EHR) and care management software.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
Preferred Qualifications:
- Master of Science in Nursing (MSN) degree or equivalent.
- Certification in Case Management (CCM) or Accredited Case Manager (ACM) credential.
- Experience working with diverse member populations and chronic disease management.
- Advanced degree in nursing, healthcare administration, or related discipline.
- Familiarity with quality improvement methodologies and population health management.
- Bilingual abilities or experience in culturally competent care delivery.
Responsibilities:
- Conduct thorough assessments of members’ health status, needs, and resources to develop individualized care plans.
- Coordinate with healthcare professionals to implement and monitor care plans, facilitating timely interventions and support.
- Educate members and their families about health conditions, treatment options, and self-care strategies to promote adherence and empowerment.
- Monitor member progress through regular follow-ups, adjusting care plans as necessary to address changing health conditions and barriers to care.
- Document all care management activities accurately and maintain compliance with healthcare regulations and organizational policies.