What are the responsibilities and job description for the Specialist, Clinical Care (IDD) position at Independent Living Systems?
ABOUT US
Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.
Position Summary
The Specialist, Clinical Care (CIDD) is responsible for the coordination of care that is being managed by providers, planning, and operational intervention of health plan enrollees. The Specialist, Clinical Care (CIDD) supports comprehensive coordination of medical services including intake, screening and referrals to utilization management and review processes, while promoting and supporting quality effectiveness of healthcare services.
Education and Experience
- Active, Unrestricted Florida RN License is required. BS or MSN preferred.
- Must have 5 years managed care/health plan experience.
- Must have 5 years clinical practice experience, e.g., hospital setting, alternative care setting, such as home health or ambulatory care.
- Utilization Management experience and/or Transitions of Care and discharge Planning experience and/or Disease Management experience and/or Prevention and Wellness experience preferred.
- Must be fluent in English both written and verbal. Bilingual in English and Spanish or English and Creole preferred.
- Experience working with the developmentally disabled community preferred.
Required Skills
- Bilingual in Spanish and English
- Ability to Lead team(s), motivate others and engage others at all levels.
- Formal presentation skills required.
- Ability to analyze complete concepts including Provider Reimbursement methodologies, reports and provide resolution within required timeframes.
- Microsoft Office applications.
- Effective Highly organized and self-motivated.
- Capable of working independently.
- Ability to interact with people of all ages and cultural backgrounds.
Travel
This position requires up to 75% travel. Frequently travel is inside the local area and may be overnight.
EEO STATEMENT
In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
#IND-ILS/3K
