Job description
The Care Manager Assistant provides non-clinical care coordination support functions for care coordination/care management services of members enrolled in Florida Community Care (FCC). The CMA role assists in promoting effective education, self-management support, and timely healthcare delivery to achieve optimal quality and outcomes. The Care Manager Assistant is a professional that consistently demonstrates and promotes the values of respect, honesty, care and dignity for the members as well as all other team members involved in the servicing of FCC’s clients. The Care Manager Assistant is involved in care coordination support services of dual eligible Medicare/Medicaid members and state Medicaid programs. The Care Manager Assistant works to support the care coordination model including service coordination/authorization, management and follow-up on non-direct clinical interventions. The Care Manager Assistant is responsible to assist Care Managers in the implementation of various interventions in members’ individualized care plans.
Essential duties and responsibilities include the following:
- Using e-care database, assists Care Management teams to manage and follow up on intervention tasks received in the individualized member’s care plan and authorizes LTSS services that have been approved by Care Management teams.
- Contacts members as necessary to assist in coordination of services.
Provides written notification to Providers on new, modifications or cancellation of LTSS services
Prioritizes members according to intensity, need, and required follow-up.
Provides feedback and information to Care Managers as needed.
Identifies and effectively utilizes health plan benefits and community resources to meet the needs of members and caregivers.
Collaborates with interdisciplinary care team and facilitates care reviews as necessary.
Coordinates provision of social services, home & community based services and other identified services and resources as identified by the Care Manager.
Maintains accurate and timely documentation in the electronic care coordination system.
Participates in orientation of new personnel
Participates in regular team meetings and department in-services
Works in conjunction with others on the team and promotes collaborative teamwork
Adheres to organizational policies and procedures
- Maintains a working knowledge of, and adheres to applicable federal/state regulations including but not limited to, laws related to patient confidentiality, release of information, and HIPAA.
Maintains appropriate professional boundaries.
Uses safe work practices. Promptly reports workplace and patient safety issues to supervisor.
Interacts in a manner, which is professional, respectful, positive, helpful, and promotes trust.
Maintains professional growth and development
- Complies with all requirements of the LTSS Care Management Program.
Other duties as assigned.
All employees shall meet Compliance/Privacy Regulations, and attend at a minimum one (1) hour of Compliance/Privacy educational training annually, as required by Florida Community Care.
All employees if duly licensed in the State of employment, and said license is part of the requirement of their position with Independent Living Systems, shall maintain in good standing and current state licensure.
All employees are required to maintain confidentiality, protect privacy, comply with PHI regulations, and report violations.
EDUCATION and/or EXPERIENCE:
Minimum Education:
Associates degree in health care related field preferred.- Prior experience in a health care setting
- Understanding of Medical Terminology
Minimum Experience:
- 1+ years in healthcare
- Basic knowledge of care management processes
Other:
Basic computer skills including data entry (database), MS Word.- Strong communication skills including verbal and writing skills
- Valid Drivers License
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Florida Community Care is committed to protecting the safety, health and well-being of all employees and individuals in our workplace. We believe that alcohol abuse and illegal drug use are detrimental to achieving success as an individual and as a professional. Employment at Florida Community Care is contingent upon successfully passing a pre-employment drug test prior to start date. We are proudly a drug and alcohol-free workplace and will maintain to enforce such policy. Our drug and alcohol-free workplace policy is intended to apply whenever anyone is representing or conducting business for Florida Community Care.
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