Clinical Case Facilitator (LCSW or RN)

About the role

Manages the health status of the member population under the direction of the plan Medical Director. The Clinical Care Facilitator will manage the medical care throughout the continuum of care.

Requirements

• Minimum of three (3) years previous healthcare experience, preferably in population care management
• Current/active State of Florida Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) licensure

Preferred 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
• Strong interpersonal communication skills and 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

Schedule

Monday through Friday, 8:30am – 4:00pm.

Employment screening

All individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse (info.flclearinghouse.com).