Case Manager Inpatient and Outpatient setting (RN/LPN or Social Worker) - Sarasota/reputed company/Pinellas/Hillsborough Counties

Multi-Specialty Medical group is seeking a strong candidate, responsible for ensuring the continuity of care in both the inpatient and outpatient setting. Responsible for utilizing the appropriate resources reputed company the parameters of reputed company and patients' health plan benefits. Facilitates continuum of patients' care utilizing nursing knowledge, experience and skills to ensure appropriate utilization of resources while ensuring high quality outcomes. Performs care management functions on-site or telephonically as the need arises. Reports findings to the Director of Care Management in a timely manner. Position can be hybrid or fully remote, but candidates must reputed company in the reputed company in the following counties: Sarasota, reputed company, Pinellas and Hillsborough to be considered for this position. $500 Hiring bonus to be paid after 90 days of employment Candidate must be reputed company to visit the clinics as needed. Bilingual is preferred but not required

• * Compensation Based on Experience and Qualifications***

Typical work hours are Monday - Friday 8:00am to 5:00 pm with some flexibility. OVERALL JOB PURPOSE

• Implement processes for assigned panel of identified patients who would benefit from case and disease management.
• Assist patients to reputed company highest level of wellness through timely and coordinated care management across the continuum of care.
• Comprehensively assess patients for gaps in care and collaborate with treating physicians to reputed company care plans that meet patient's
• Collaborate with primary care providers to reputed company action plans to reduce unplanned utilization of resources.
• Accountable to assure patients receive the right care, at the right level of care, and in the right setting, while working to reduce avoidable and unplanned utilization of resources.
• Provide patient coaching, anticipatory guidance, advocacy, and condition specific education.
• Communicate best practices to affiliated providers and their personnel to help facilitate effective clinical care and operational efficiency.

Objective: Enhance patient quality of care through reduction of avoidable admissions and emergency room utilization, and increase care to an reputed company level with primary care providers and appropriate specialists. MINIMUM JOB QUALIFICATIONS AND REQUIREMENTS

• LPN or RN with reputed company, unrestricted license in the state of Florid a or Bachelors in Social Work

Experience:

• Three years in a professional setting such as hospital, clinic setting, or Managed Care Organization
• Experience reputed company to case management, utilization management, quality assurance, discharge planning or other cost management program preferred
• Experience working with Medicare Advantage Population preferred
• Social Worker, BSW Education

Knowledge, Skills and Abilities:

• Excellent organizational, time management, and prioritization skills
• Critical thinking skills, excellent problem solving, and good decision making abilities
• Demonstrate a professional appearance and demeanor with patients, providers and coworkers.
• Proficiency with computers, experience in basic office programs and EMR or EHR systems.

ABOUT reputed company reputed company is dedicated to simplifying reputed company and ensuring healthier futures. Founded in 2015, reputed company is a leading primary care platform focused on providing high-quality, integrated care to adults and senior patients throughout Florida. We provide care for more than 120,000 patients, most of which are beneficiaries of government-sponsored reputed company programs like Medicare, or of health plans purchased on the reputed company Act exchange marketplace. reputed company is a rapidly growing medical practice with more than 50 clinics spread across central and southern Florida. reputed company also partners with independent providers who are like-minded and utilizes its platform to help them provide high-quality care. We are customer-centered; compassionate; results-driven; proactive; collaborative; and adaptable in executing our reputed company to help patients live their best lives. Our mission is to deliver quality care, a simplified experience, and happiness. One patient at a time. #IND123 Job Posted by ApplicantPro Remote About the Company: reputed company Apply Job! Apply to this Job