About This Role

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Responsibilities

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance

Required Qualifications

• 2+ years Field case management experience, ideally with Geriatric long-term care patients. (team handles members who are 65+)
• High volume caseload experience
• Experience with electronic medical records
• Strong computer skills – MS office
• • Bachelor’s Degree
• • Valid Driver’s License
• • Bilingual in Spanish PREFERRED
• Must reside in Sarasota county

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