Job Description
Job Description
Florida Medical Clinic Orlando Health
Florida Medical Clinic
Job Description
- REMOTE / HYBRID POSITION
- 8-12 weeks of training onsite at 17401 Commerce Park Blvd. Tampa, FL 33647
DURING INITIAL TRAINING ROLE WILL BE HYBRID BUT WILL TRANSITION TO REMOTE, COMING TO THE OFFICE 1 DAY A WEEK (MUST BE IN THE IMMEDIATE TAMPA BAY REGION )
Title : LPN Care Manager Reports to : Manager / Care Team
As a Care Manager you will :
Serve as the clinical bridge between the professional staff of the entire care continuum or in the communityServe as point of contact for members that have received ED, acute or post-acute servicesCollaborate with the care team to ensure appropriate and timely coordination of servicesEngage patient in various care delivery environments to ensure knowledge of program components, set expectations, eliminate barriers, and ensure compliance with program componentsBuild and sustain strong relationships with client, members and providersPerform market research and surveillance to determine existing network and caregiver servicesMonitor and evaluate the effectiveness of the care management plan and modifies as necessaryIdentify gaps or barriers in treatment plans and provides appropriate education to fill in those gapsMake recommendations to the Interdisciplinary Care Team on continued patient needs from a utilization and care management perspective and effectively communicates and collaborates with the patient, family, physician(s), nursing, and other healthcare team members to coordinate careConduct complete medication reviews and gathers information about medicationConsult with medical providers regarding patient concerns and or actions that may impact compliance with care plansA Day in the Life :
Ensures successful delivery of all ordered post-acute / post-ED services closely collaborating with Post-Acute Network managerEngages post-acute institution based patients at the bedside to ensure compliance to next level of care plan and works with member / post-acute team to eliminate barriers to complianceFacilitates regular follow up with active members to ensure ongoing compliance with program components and eliminates barriers to complianceEnsures the approved in market processes utilized consistently with appropriate populationsPromotes and supports the continuum of patient care including :Serves are "point of contact" for members, acute providers and client regarding care transitions and program componentsResponsible for performing care management within the scope of licensure for members with a variety of complex and / or chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuumConducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during the assessmentCommunicate appropriate information to care providers in the continuum of care, monitors / reports utilization trends and intervenes as appropriate to ensure patients are connected with available resourcesInterfaces with Medical Directors and Physician Advisors on the development of care management treatment plansPerforms patient / family / caregiver education about treatment, self-management, and medications etc.Documents completed tasks and progress notes in care management systemWhat Success Looks Like in this Role :
Coordinate with the patient / caregiver via phone, video or asynchronous messaging to ensure all physician appointments are made and kept, outpatient therapy is completed, lab / diagnostic testing, medication reconciliation is performed per the protocol and the patient's physicianAccountable for ensuring efficient and effective holistic approach for patients / families / caregivers across the care continuumAbility to maintain effective and professional relationships with patient and other members of the care teamAbility to effectively engage patients in a therapeutic relationshipA personal commitment to a person-centered approach, along with strong relationship-building, communication, and active listening skills requiredMaintains ongoing knowledge of Medicare guidelines, managed care, regulators changes at both the state and federal level, and other financial informationActively manages and engages full caseloadWe are excited about you if you have these things :
Current, unrestricted (Florida, RN) license (preferred) or LPN (minimum license level requirement)Bachelor's degree in nursing or Associate Degree in Nursing with 3 years in critical care, population management, or acute or chronic care experienceCase Manager Certification (CCM) a plusExperience in either Utilization Management, Case Management, Disease Management or Discharge Planning preferredPrior telephonic care experience a plusKnowledge of population health a plusBeginner to intermediate experience working with reports / ExcelBilingual a plusAdditional Responsibilities :
Maintains an organized and clean work areaParticipates in maintenance of clinical suppliesPerforms other incidental and related duties as required and assignedWe are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status
Florida Medical Clinic Orlando Health is a drug-free workplace and maintains a policy in which new hires will be required to submit to pre-employment drug testing. This policy is intended to comply with applicable laws regarding drug testing and any privacy rights
