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Hollywood FloridaWe have an outstanding reputation for providing patient- and family-centered care that exceeds all expectations. Together we have created an award-winning nationally-recognized system where every effort is focused on delivering Deeper Caring and Smarter Healthcare throughout our communities. Career opportunities exist on diverse teams across our many facilities where you can search open positions and apply online to join #teamMHSflorida.
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Summary:
Case managers are responsible for developing care plans in partnership with patients monitoring ongoing symptoms building continuity of care reviewing patients claims data laboratory reports and prescriptions engaging with patients to manage their own health and working with patients and providers to set treat-to-target goals.Responsibilities:
Responsible for timely contact of members enrolled in the Disease Management program. Maintains appropriate caseload follows Disease Management process to include appropriate documentation and ongoing follow-up support and education to patients and caregivers either in-person or telephonically until transitioning the patient back to their primary care provider or ambulatory care manager for long-term support. Ensures that assigned patients who are discharged from any inpatient institutions are followed up by their primary care providers within 7 days. Communicates the patient plan of care with the physician patient and care team members. Remains aware of patient needs and changes in patients patient care plans based upon the assessment of the patients care needs and provides ongoing monitoring of assigned patient case load through the duration of the program. Maintains client records by reviewing case notes logging events and disease management for members with specific chronic diseases. Performs initial assessment which is used to determine the members level of knowledge about their disease as well as the need for education coaching and support to ensure compliance with a treatment plan based on nationally recognized standards of care for their chronic illness(s). Works with patients to create disease specific disease management plans to address their specific objectives and goals established during the initial cases by verifying patients attendance to scheduled appointments; observing and evaluating treatments and responses; advocating for needed services and entitlements; obtaining additional resources; intervening in crises; providing personal patients requirements by completing intake assessments; determining the need for therapeutic medical psycho-social and psychiatric evaluations; reviewing therapist evaluations treatment objectives and plans.Competencies:
ACCOUNTABILITY ANALYSIS AND DECISION MAKING CLINICAL POLICIES AND STANDARDS CUSTOMER SERVICE DISCHARGE PLANNING CLINICAL EFFECTIVENESS PATIENT AND FAMILY CENTERED CARE RESPONDING TO CHANGE STANDARDS OF BEHAVIOR TEAM WORKEducation and Certification Requirements:
Accredited Program (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART) BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART) BLS Cert American Heartnon ecard (BLS AHA) - American Heart Association (AMERICAN HEART) BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE) BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS) Fingerprint Screen (FINGERPRNT) - Florida Department of Childrens & Family (DCF) Licensed Practical Nurse (PN LICENSE) - State of Florida (FL)Additional Job Information:
Complexity of Work: Requires critical thinking skills decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate Work Experience: One (1) year of LPN experience Information: Additional Information: Employment in this position is contingent upon successful completion of a Level II Criminal History record Education Info: Graduate of an accredited Practical or Vocational Nursing program.Working Conditions and Physical Requirements:
Shift:
Primarily for office workers - not eligible for shift differentialDisclaimer: This job description is not intended nor should it be construed to be an exhaustive list of all responsibilities skills efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits hires and promotes qualified candidates for employment opportunities without regard to race color age religion gender gender identity or expression sexual orientation national origin veteran status disability genetic information or any factor prohibited by law.
We are proud to offer Veterans Preference to former military reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer pre-placement assessment including drug testing.
If you need reasonable accommodation during the application process please call (M-F 8am-5pm) or email
Required Experience:
Manager
Full-Time