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.
- Require a minimum of three (3) years previous healthcare experience, preferably in population care management.
- Require an current/active State of Florida Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) licensure.
- 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 rela...
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