Clinical Care Specialist
6 days ago
We are seeking a Clinical Care Specialist to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Clinical Care Specialist plays a pivotal role in delivering high-quality member care within a healthcare setting by coordinating and implementing clinical services tailored to individual member needs. This position involves collaborating closely with multidisciplinary teams to ensure comprehensive care plans are developed and executed effectively, improving member outcomes and satisfaction. The specialist will serve as a key liaison between members, families, and healthcare providers, facilitating clear communication and education regarding treatment options and care processes. Additionally, the role requires continuous assessment and monitoring of member progress, identifying any changes in condition and adjusting care plans accordingly. Ultimately, the Clinical Care Specialist contributes to the overall efficiency and quality of healthcare delivery by integrating clinical expertise with compassionate member support.
Minimum Qualifications:
- Bachelor's degree in Nursing, Healthcare Administration, or a related clinical field.
- An active, unrestricted multistate Registered Nurse (RN) license is required, with eligibility to practice in states such as Texas and Florida.
- Minimum of 2 years of experience in clinical healthcare environment.
- Strong knowledge of clinical care standards, member safety protocols, and healthcare regulations.
- Proficiency in electronic health record (EHR) systems and basic computer applications.
Preferred Qualifications:
- Master's degree in Nursing, Public Health, or Healthcare Management.
- Certification in case management or clinical care coordination (e.g., CCM, CNOR).
- Experience working in specialized clinical settings such as outpatient clinics, rehabilitation, or chronic disease management.
- Familiarity with quality improvement methodologies and patient-centered care models.
- Bilingual abilities or experience working with diverse patient populations.
Responsibilities:
- Conduct thorough member assessments to determine clinical needs and develop individualized care plans.
- Coordinate with physicians, nurses, and other healthcare professionals to implement and monitor treatment protocols.
- Provide member education and counseling to promote understanding of health conditions and adherence to care plans.
- Document member interactions, progress, and any changes in condition accurately in medical records.
- Participate in quality improvement initiatives and ensure compliance with healthcare regulations and standards.
- Respond promptly to member concerns and emergencies, facilitating timely interventions.
- Support discharge planning and follow-up care to ensure continuity and prevent readmissions.
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