APN Healthcare Solutions has an immediate need for a direct client requirement:Job Title: Case Manager ILocation: Remote (Naples, FL)Duration: 6 Months Will the position be 100% remote? They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities Are there any specific location requirements? I will need one position in the Naples, FLarea, Are there are time zone requirements? Easter standard time What are the must have requirements? BA in related fields like social work, health administrationbull; What are the day to day responsibilities? Get services that you are eligible to receive Set up appointments every 90 days or as needed Arrange for transportation if member needs it Identify any gaps in care or health care needs Access resources to help you with special health care needs and assist your caregivers with day-to-day stress Coordinate moving from one setting to another. This can include being discharged from the hospital Assess eligibility for long-term care services and support Connect with community resources Find services from additional resources, including community and social services programs like physical therapy or "Meals on Wheels " Arrange for services with a primary care provider (PCP), family members, caregivers and any other identified provider Is there specific licensure is required in order to qualify for the role? no What is the desired work hours (i.e. 8am 5pm) 8:30-5:00pm What additional equipment besides a laptop, keyboard, mouse and headset will be required for this candidate to be successful in this role? (see below) two monitors and a docking stationSummary:Responsible for health care management and coordination of Client Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes.Works with members to create and implement an integrated collaborative plan of care.Coordinates and monitors Client member39;s progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelinesnbsp;Essential Functions: Provides case management services to members with chronic or complex conditions including:o Proactively identifies members that may qualify for potential case management services.o Conducts assessment of member needs by collecting in-depth information from Client39;s information system, the member, member39;s family/caregiver, hospital staff, physicians and other providers.o Identifies, assesses and manages members per established criteria.o Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.o Performs ongoing monitoring of the plan of care to evaluate effectiveness.o Documents care plan progress in Client39;s information system.o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.o Measures the effectiveness of interventions to determine case management outcomesbull; Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Client membersbull; Conducts face to face or home visits as requiredbull; Maintains department productivity and quality measuresbull; Manages and completes assigned work plan objectives and projects in a timely mannerbull; Demonstrates dependability and reliabilitybull; Maintains effective team member relationsbull; Adheres to all documentation guidelinesbull; Attends regular staff meetingsbull; Participates in Interdisciplinary Care Team (ICT) meetingsbull; Assists orientation and mentoring of new team members as appropriatebull; Maintains professional relationships with provider community and internal and external customersbull; Conducts self in a professional manner at all timesbull; Maintains cooperative and effective workplace relationships and adheres to company Code of Conductbull; Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growthbull; Complies with required workplace safety standardsnbsp;Knowledge/Skills/Abilities: Demonstrated ability to communicate, problem solve, and work effectively with peoplebull; Excellent organizational skill with the ability to manage multiple prioritiesbull; Work independently and handle multiple projects simultaneouslybull; Strong analytical skillsbull; Knowledge of applicable state, and federal regulationsbull; Knowledge of ICD-9, CPT coding and HCPCbull; SSI, Coordination of benefits, and Third Party Liability programs and integrationbull; Familiarity with NCQA standards, state/federal regulations and measurement techniquesbull; In depth knowledge of CCA and/or other Case Management toolsbull; Ability to take initiative and see tasks to completionbull; Computer skills and experience with Microsoft Office Productsbull; Excellent verbal and written communication skillsbull; Ability to abide by Client39;s policiesbull; Able to maintain regular attendance based upon agreed schedulebull; Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customersnbsp;Required Education:Bachelor39;s degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degreeRequired Experience:0-2 years of clinical experience with case management experiencenbsp;Required Licensure/Certification:Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing.A combination of experience and education will be considered in lieu of LCSW or APSW.Must have valid driver39;s license with good driving record and be able to drive locally.