ABOUT US

Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiaries offer a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid, and Dual-Eligible Market. ILS provides tailored integrated solutions aimed at improving health outcomes while rebalancing costs, addressing social determinants of health and connecting members with community-based resources.

POSITION SUMMARY

The Non-Clinical Care Manager is responsible for non-clinical care management services of members enrolled through ILS’ client health plans to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and positive outcomes. The Non-Clinical 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 ILS’ clients. The Non-Clinical Care Manager is involved in care management services for the diverse member population that ILS services. The Non-Clinical Care Manager will be responsible for working in conjunction with the Clinical Care Manager in the collaborative development and ongoing maintenance of individualized care plans using available clinical, social and functional data.

ESSENTIAL FUNCTIONS

• Conducts review of member’s care plan to ensure needs are identified and included onto the member’s individualized care plan.
• Interacts telephonically with member to maintain member’s individualized care plan using the available data.
• Prioritizes members according to intensity, need, and required follow-up.
• Conducts periodic assessments and alerts Clinical Care Manager of clinical needs or changes to member’s care plan.
• Evaluates the effectiveness of the care plan in meeting established care goals; revises the non-clinical components of the care plan as needed to reflect changing needs, problems, and goals.
• Identifies and effectively utilizes health plan benefits and community resources to meet the needs of members and caregivers.
• Makes appropriate referrals to other programs to address the member’s needs.
• Promotes member self-management and empowers members/caregivers to achieve maximum levels of wellness and independence.
• Provides ongoing development of non-clinical components of the care plan using the problems, goals and interventions methodology for assigned case load.
• Serves as a liaison to providers, members and caregivers for coordination of services.
• Provides member with non-clinical education during care management activities.
• Maintains accurate and timely documentation in the electronic care management system.
• Participates in interdisciplinary care team meetings and case conferences as needed.
• Participates in orientation of new personnel.
• Participates in regular team meetings and departmental 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 Care Management Model of Care.

EDUCATION AND EXPERIENCE

• Baccalaureate Degree in healthcare related field.
• 1+ years in healthcare related field
• 1+ years in care management preferred.
• 1+ years in managed healthcare preferred.

REQUIRED SKILLS

• Basic computer skills including data entry (database), MS Word
• Strong communication skills including verbal and writing skills.
• Valid Driver’s License
• Ability to work independently, while collaborating with other team members

EEO STATEMENT

In compliance with the Drug-Free Workplace Act of 1988, Independent Living Systems has a longstanding commitment to provide a safe, quality-oriented, and productive work environment. Alcohol and drug abuse pose a threat to the health and safety of ILS employees and to the security of the company's equipment and facilities. For these reasons, ILS is committed to the elimination of drug and alcohol use and abuse in the workplace. Independent Living Systems, LLC, and its subsidiaries, including FCC, provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, disability, ancestry, or any other characteristic protected by state, federal, or local law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.