Clinical Case Facilitator
Job Description
Department
Medical Management Services
Job Summary
Manages the health status of the member population under the direction of the plan Medical Director. The Clinical Care Facilitator will manage the medical care throughout the continuum of care.
Required Qualifications
• Require a minimum of three (3) years previous healthcare experience, preferably in population care management.
• Require an current/active State of Florida Registered Nurse or Licensed Clinical Social Worker (LCSW) licensure.
Preferred Qualifications
• Prefer previous indigent patient care management experience.
• Prefer Certified Case Manager (CCM) certification from the Commission for Case Manager.
• Prefer previous health plan, inpatient care and outpatient physician office experience.
• Prefer familiarity with Milliman USA and Interqual guidelines.
• Prefer demonstrated ability to learn SMHCS related facilities/services.
• Prefer interpersonal communication skills and the ability to work effectively in a team.
• Prefer demonstrated ability to work independently.
• Prefer demonstrated ability to interact with SMHCS Medical Staff.
• Prefer proficiency in WEB Platforms, Word, Excel, Windows and CareVision.
• Prefer a Bachelor's degree in related field.
Mandatory Education
Preferred Education
Required License and Certs
Hospitals and Health Care
Health Care Provider
Full-time