About FCHC:
Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, Pahokee and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.
Mission
The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.
Vision
Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.
FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.
Values
FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.
Position Summary: The Care Manager (Care Gap) works collaboratively with interdisciplinary teams, both internal and external to the organization, to improve patient care for high risk and special populations, through effective utilization and monitoring of healthcare resources; and assumes a leadership role to achieve desired clinical and financial outcomes. Care Manager (Care Gap) is responsible for answering incoming calls promptly and efficiently to schedule appointments using computerized appointment system.
Role and Responsibilities:
- Conduct assessment for patients that are non-compliant with various care gaps as required per insurance needs. Evaluation of the patient’s mental and social history as well as learning needs assessment. Evaluate service needs with patient, with input from medical care team. Must be documented in the patient’s medical
- Coordinate follow up with patients who have been seen in ER, have been discharged from the Hospital or considered a high utilizer per insurances to insure timely appointments are given for follow
- Monitor client’s progress and appointment compliance. Efforts to review follow up of care and compliance with medical team to be reviewed and documented in the patient’s medical
- Ensure that care team works to coordinate care, referrals and services of patient in accordance with the patient’s care plan and review for compliance with organizational standards. Ensure referrals are completed according to FCHC’s time
- Maintain contact with each patient who is receiving services via Care Management (Care Gaps), per FCHC care management policy. All calls to patients must be returned within 48
- Maintain documentation and data collection in accordance with FCHC and other specified agency guidelines. Conduct and/or participate in program evaluation as
- Coordinate care between care team and hospital as well as refer/link patients to other community programs and provide assistance in completing necessary paperwork for program referral, for continuity of
- Serve as a member of the Clinical Quality Measures committee and participate in any care gap outreach that is
- Act as an advocate for the patient and/or patient’s
- Participate in interdisciplinary team meetings and maintain open communication with providers.
- Conduct on-going contact services when
- Maintain accurate records in the patient’s electronic health
- Availability and choice of appointment times should attempt to accommodate the patient’s schedule and
- Coordinate individual or group based education, or patient self-management goal setting, as appropriate for
- Maintain appropriate licensure and certification, if
- Travel to other FCHC sites, meetings, trainings and other FCHC activities when
- Participate in training programs and
OB Specific
- Monitor all prenatal patients from entry into care to last post partum visit, to include: UDS reporting measures, and Healthy Start Contract
- Assist with completion of all required OB reporting for UDS and Healthy Start
- Conduct outreach activities for prenatal and postnatal patients who fail to show for appointments per FCHC no show
- Work cooperatively with HBN program and Healthy Start to ensure that prenatal and postnatal patients or their infants are receiving appropriate public health benefits or any available financial service for prenatal or postnatal
- Ensure all infant information is captured for UDS reporting and Healthy Start or other
- Program reporting requirements.
Minimum Qualifications:
Care Manager (Care Gap) must be provided by trained and qualified health-related professionals or paraprofessionals. The minimum requirements for a care coordinator are:
- Associates Degree with 3 years of public health/community health experience; or
- High school diploma or its equivalence with 5 years of public health/community health experience.
- Previous experience with Electronic Medical Record is
- Possess excellent verbal and written communication
- Valid Florida Driver’s License, and have reliable/accessible
- Bilingual Spanish/English preferred.
Knowledge, Skills and Abilities:
- Ability to maintain confidential
- Must be able to assist in the application of various referral/assistance programs, entering very sensitive information into a variety of computer systems in a fast paced
- Expected to handle a high volume of work with strict
- Must be able to prioritize work, and be flexible to changes at any
- Must be able to work with patients of all socio-economic
- Must abide by the policies, procedures, laws, rules and regulations of Florida Community Health Centers, Inc, The Department of Children and Families, Florida Healthy Kids Corporation (KidCare) and any other social program for which an application is
- Must be prepared to report suspected child or elderly abuse as well as suspected fraud to the appropriate
- Must have knowledge of community
- Must be organized, have problem-solving skills and communication skills to articulate medical requirements to patients, families/caregivers, medical and non-medical staff in a professional and courteous
- Must be computer literate and have experience within Microsoft Office and Microsoft Excel.
- Athena software experience
- Be culturally
Additional Notes
This job description is not intended to be all-inclusive, and employee will also perform other reasonable related business duties as assigned by supervisor.
* This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.
Job Type: Full-time
Benefits:
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
Experience:
- Public Health: 3 years (Preferred)
- Case management: 1 year (Preferred)
- Athenahealth: 1 year (Preferred)
Language:
- Bilingual Preferred (Preferred)
License/Certification:
- Driver's License (Preferred)
Ability to Relocate:
- Fort Pierce, FL 34950: Relocate before starting work (Required)
Work Location: In person
