Care Manager I

4 weeks ago


Orlando, Florida, United States Miami Beach Medical Group Full time
Job Title: Care Manager I

At Miami Beach Medical Group, we are seeking a highly skilled Care Manager I to join our team. The ideal candidate will have a strong background in healthcare and excellent communication skills.

Job Summary:

The Care Manager I will be responsible for facilitating patient care by coordinating and integrating health and care management functions to achieve a common goal. This role will work closely with primary care physicians, specialists, psychologists, and social workers to optimize patients' health and well-being.

Key Responsibilities:
  • Conduct comprehensive assessments to identify individual needs and develop a specific care management plan to address objectives and goals.
  • Evaluate patients for fall risk, health literacy, and risk of unplanned admission.
  • Coordinate pre-admission, discharge, and schedule admission as needed.
  • Identify high-risk populations and develop strategies to mitigate risks.
  • Monitor homebound populations and coordinate home lab and home visit services.
  • Assist with medical urgencies, including IVs, wound care, medication administration, and communication with healthcare providers.
  • Communicate with patients, providers, and healthcare teams to ensure seamless care coordination.
  • Educate patients on health plan benefits, CCMC services, and community resources.
  • Assess patients for physical functional limitations, poor social support systems, and behavioral health needs.
  • Problem-solve with providers, utilization, and service issues, prior authorization requests, and long-term care applications.
  • Implement activities to promote cost savings, such as preventing admissions, reducing readmissions, and improving generic dispensing rates.
Requirements:
  • Associate degree in nursing required.
  • Active Registered Nurse license in Florida.
  • Two years of acute clinical experience required.
  • Two years of care or case management experience in a hospital, health plan, or clinic setting required.
  • Proficient computer skills, including experience with Microsoft Excel, Word, and Outlook.
  • Strong written and verbal communication skills.
  • Excellent clinical assessment and analytical skills.
  • Bilingual in English and Spanish preferred.

Miami Beach Medical Group is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to providing an inclusive workplace where employees excel based on personal merit, qualifications, experience, ability, and job performance.


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