Clinical Case Facilitator (LCSW or RN)
On-siteSarasota, Florida, United States
Job Summary
Manage the health status of the member population under the direction of the plan Medical Director by overseeing medical care throughout the continuum of care. Maintain active licensure as a Florida Registered Nurse or Licensed Clinical Social Worker with at least three years of healthcare experience, preferably in population care management. Utilize proficiency in WEB Platforms, Word, Excel, Windows, and CareVision to interact effectively with SMHCS Medical Staff and coordinate services across inpatient and outpatient settings. Work Monday through Friday from 8:30am to 4:00pm, adhering to background screening requirements through The Florida Care Provider Background Screening Clearinghouse.
Required Qualifications
- Minimum of three (3) years previous healthcare experience
- Current/active State of Florida Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) licensure
- Background screening through The Florida Care Provider Background Screening Clearinghouse
Desired Qualifications
- Previous indigent patient care management experience
- Certified Case Manager (CCM) certification from the Commission for Case Manager
- Previous health plan, inpatient care and outpatient physician office experience
- Familiarity with Milliman USA and Interqual guidelines
- Demonstrated ability to learn SMHCS related facilities/services
- Interpersonal communication skills and the ability to work effectively in a team
- Demonstrated ability to work independently
- Demonstrated ability to interact with SMHCS Medical Staff
- Proficiency in WEB Platforms, Word, Excel, Windows and CareVision
- Bachelor's degree in related field
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