Position Summary

The Care Manager is responsible for care management services of members enrolled in Florida Community Care (FCC) to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and positive outcomes. The Care Manager behaves in a professional manner, and 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 clients. The Care Manager is involved in care management services for the diverse member population that FCC services. The Care Manager will be responsible for the development and ongoing maintenance of individualized care plans using available data.

Essential Functions 

• Completes initial assessment and annual assessment using the Florida 701B. All 701B assessments will be done face-to-face. The assessment helps to identify the client’s conditions and resources.
• Completed supplemental assessments.
• Develops and reviews care plan in conjunction with client/client’s representative.
• Arranges appropriate services and coordinates service delivery with other professionals involved with service provision.
• Encourages and provides education and training to caregivers, family members or friends.
• Completes and maintains a client record with progress reports and forms related to service provision and ongoing documentation.
• Interacts telephonically with member to maintain member’s individualized care plan using the available data.
• Maintains the following caseloads (as per state requirements):
  • Ratio of 1 care manager to sixty (60) members for enrollees residing in the community.
  • Ratio of 1 care manager to 100 members for enrollees age twenty-one (21) years or older that reside in a nursing facility.
  • Except a ratio of 1 care manager to forty (40) enrollees for enrollees under age twenty-one (21) years receiving private duty nursing services in their family home or other community-based setting.
• Evaluates the effectiveness of the care plan in meeting established care goals; revises components of the care plan as needed to reflect changing needs, problems, and goals.
• Identifies and effectively benefits and community resources to meet the needs of members and caregivers.
• Makes appropriate referrals to other programs/agencies to address the member’s needs.
• Promotes member self-management and empowers members/caregivers to achieve maximum levels of wellness and independence.
• Serves as a liaison to providers, members and caregivers for coordination of services.
• Provides member with education during care management activities.
• Maintains clear and concise documentation in the electronic care management system; Documentation must be entered the electronic management within 48 hours of occurrence.
• Participates in orientation and supervision of new personnel.
• Participates in regular team meetings and departmental in-services.
• Works in conjunction with others on the team and promotes collaborative teamwork.
• Performs other duties as necessary

Education Requirements

• Minimum of two (2) years of relevant experience.
• Bachelor’s degree in social work, sociology, psychology, gerontology or a related social services field.

Required Skills

1. All Care Managers must be 701B certified.
2. All Care Managers must become certified in Person Centered Care Planning (PCCP)
3. All Care Managers must attend mandatory FCC trainings as needed.