We are seeking a Care Coordinator (IDD Pilot Program) 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 Care Coordinator for the IDD Pilot Program plays a pivotal role in managing and facilitating comprehensive care plans for individuals with intellectual and developmental disabilities. This position ensures that participants receive coordinated, person-centered services that promote their health, well-being, and independence. The Care Coordinator acts as a liaison between healthcare providers, community resources, families, and the individuals themselves to streamline access to necessary supports and services. By monitoring progress and adjusting care plans as needed, the role contributes to improved health outcomes and quality of life for program members. Ultimately, the Care Coordinator’s core functions include assessing individual needs, developing a person-centered support plan, coordinating services and care, and serving as the enrollee’s advocate.

Minimum Qualifications:

• Care Coordinators with the following qualifications also have a minimum of two (2) years of relevant experience:
• Bachelor’s degree in social work, sociology, psychology, gerontology, or related social services field or Registered nurse licensed to practice in the state or Bachelor’s degree in field other than social science.
• Care Managers with the following qualifications have a minimum of four (4) years of relevant experience: License Practical Nurse licensed to practice in the state.
• Experience working with the developmentally disabled community is preferred.
• Hold current CPR certification.
• Care Managers without the aforementioned qualifications may substitute professional human service experience on a year-for-year basis for the educational requirement.

Preferred Qualifications:

• Master’s degree in social work, public health, or a related discipline.
• Certification in care coordination or case management (e.g., CCM, ACM).
• Experience with electronic health records (EHR) and care management software.
• Familiarity with Medicaid waiver programs and other funding mechanisms for IDD services.
• Training in trauma-informed care and person-centered planning methodologies.

Responsibilities:

• Serve as the point of contact for the enrollee/authorized representative. Serve as a liaison between the enrollee/authorized representative and the care delivery system.
• Assess the enrollee's needs and identify current gaps in care from a holistic perspective. Conduct comprehensive initial and reassessments face-to-face, using the required assessments and supplemental assessment tools, and ensure completion within the required timeframes.
• Assist the enrollee/authorized representative in the development and implementation of a person-centered support plan, taking into consideration all available resources regardless of the funding source.
• Coordinate services and care across the continuum of care. Refer enrollees to the Interdisciplinary Team (ICT) with the Clinical Director for comprehensive case reviews and discussions, particularly those requiring a clinical, behavioral, or interdisciplinary approach.
• Keep the enrollee records in eCare (FCC Care Management Platform) up to date and accurately document all care coordination activities within the required timeframe, as stipulated in the FCC Care Coordination Program Description (CCPD) and Policies and Procedures. Manage and maintain an up-to-date caseload with a ratio as specified in the Contract.