Job Details

Independent Living Systems (ILS) is actively looking for a dedicated Care Coordinator to enhance the quality of life and independence for vulnerable populations. Join our team and contribute to the mission of ILS and its affiliated health plans, Florida Community Care and Florida Complete Care.

About the Role:

The Care Coordinator plays an essential role in creating and managing comprehensive care plans for individuals needing health and social support services. You will ensure that members receive personalized, effective, and timely care by collaborating closely with healthcare providers, social workers, and family members. As a vital liaison, you will facilitate communication among all parties involved, advocate for clients' needs and preferences, and monitor client progress while making necessary adjustments to care plans. Our ultimate goal is to improve client outcomes, enhance their quality of life, and optimize resource utilization.

Minimum Qualifications:

• Bachelor's degree in social work, psychology, biology, public health, nursing, community health, or a related field, or equivalent experience.
• A minimum of 5 years of experience working with individuals facing complex health and social issues.
• Knowledge of and experience with community agencies and programs is essential.
• Familiarity with Medi-Cal eligibility guidelines and the application and renewal process.
• Strong problem-solving and customer service skills.
• Must be a California Resident and reside in California while employed.
• Current and valid California Driver's License.
• Must use a personal vehicle with current registration and maintain California's minimum auto insurance coverage. Proof of auto insurance is required.
• BCLS CPR Certification is required.

Preferred Qualifications:

• Master's degree in nursing, social work, public health, or healthcare administration.
• Certified Case Manager (CCM) credential or equivalent certification.
• Experience working with diverse populations, including the elderly, disabled, or chronically ill clients.
• Bilingual abilities, especially in Spanish or other commonly spoken languages in California, are a plus.

Responsibilities:

• Develop and manage individualized care plans for members in your caseload, ensuring consistent and effective care coordination.
• Assess psychosocial and social determinants of health needs for high-risk members and document assessment results in appropriate systems.
• Consult with or refer members to licensed staff (social workers, nurse case managers, etc.) based on member health and social complexities.
• Establish relationships and collaborate with community resources, health plans, and providers by participating in local agency activities.
• Assist members in overcoming barriers related to high complexity health conditions by identifying and connecting them to necessary community and medical services.
• Engage actively with members and their family support systems to build rapport and trust.
• Identify social determinants of health concerns, develop, and document plans to address these issues.
• Document member updates and progress in systems, submit reports, and provide recommendations for improving outcomes.
• Identify gaps in community resources and medical systems, recommend solutions, and help implement new services.