Case Manager

Company: Allmed Staffing Inc
Location: Polk City
Posted on: November 22, 2021

Job Description:

Field Based Case Manager- Polk County

Work location- Field based with Work at home time. 75% Field / 25% Home based

Work hours (ex. 9am-5pm day/night shifts rotating shifts etc.)? 8am to 5pm M-F

What does this position accomplish for the business? Provision of case management service to home/assisted living and/or nursing home Medicaid members enrolled in the FL Long Term Care plan.

Please describe the team the candidate will be working with (number of team members break-down of the teams skill sets team culture etc.). The candidate will be working with a team of 34 case managers and 2 manager of case management. Each Case Manager is expected to carry a caseload of 60-100 dependent on the member's placement type.

1. The candidate will be expected to complete face to face visits to members enrolled in the FL Long Term Care plan and will complete required assessments and coordination of services.
2. The candidate will also maintain strict documentation on member case and other contractual forms.
3. The candidate will assist the plan to complete wellness calls to members as needed.
4. The candidate will assist the Region managers with special projects as needed to maintain compliance with contractual requirements.
5. The candidate is expected to provide PTO coverage to other case managers as assigned by the region managers.

What does the ideal candidate background look like (ex: healthcare specific background specific industry experience etc.)?
1. The candidate must have significant case management experience in managed care organizations and reside within Polk County.
2. The candidate must be familiar with regulatory agencies such as the FL Agency for Health Care Administration.
3. The candidate must have Intermediate to Advance computer skills.
4. Candidates will need experience in high productivity environments.

What skills/attributes are required -
1. 1-2 years in case management with managed care organizations
2. The candidate should have adequate writing skills.
3. The candidate should have good communication skills and email/phone etiquette.
4. The candidate must have field experience and own transportation.

What skills/attributes are preferred-
1. Bilingual skills in other languages (Spanish, French, Creole)

Does this position require a professional license or certification? If so please list.
Yes, this position requires a bachelor's degree in Social Work or other Health Care related fields and/or an active FL Nursing or LPN License.

What are the work hours (ex. 9am-5pm day/night shifts rotating shifts etc.)? 8-5pm M-F

What is the dress code (ex: business casual scrubs etc.)?
Appropriate attire while on the field and when on camera during meetings/training.

How would you prefer to interview? (Video phone or in person? How many rounds?)
Video call will be required for Interviews. Only one interview will be needed.

Keywords: Allmed Staffing Inc, Lakeland , Case Manager, Executive , Polk City, Florida