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.

Responsibilities

• Manage the medical care throughout the continuum of care
• Previous healthcare experience, preferably in population care management
• Current/active State of Florida Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) licensure
• Previous indigent patient care management experience preferred
• Certified Case Manager (CCM) certification from the Commission for Case Manager preferred
• Health plan, inpatient care and outpatient physician office experience preferred
• Familiarity with Milliman USA and Interqual guidelines preferred
• Demonstrated ability to learn SMHCS related facilities/services preferred
• Interpersonal communication skills and the ability to work effectively in a team preferred
• Demonstrated ability to work independently preferred
• Demonstrated ability to interact with SMHCS Medical Staff preferred
• Proficiency in WEB Platforms, Word, Excel, Windows and CareVision preferred
• Bachelor's degree in related field preferred

Requirements

• Minimum of three (3) years previous healthcare experience

Qualifications

• Current/active State of Florida Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) licensure

Skills

• Interpersonal communication skills
• Ability to work effectively in a team
• Ability to work independently
• Ability to interact with SMHCS Medical Staff
• Proficiency in WEB Platforms, Word, Excel, Windows and CareVision

Pay

Hours: Monday thru Friday, 8:30am - 4:00pm.

Schedule

Hours: Monday thru Friday, 8:30am - 4:00pm.

Benefits

N/A