Case ManagerThe Case Manager supports patients with complex, high-risk, or chronic health conditions through coordinated, patient-centered care. This role serves as a liaison between patients, providers, insurance partners, and community resources to ensure continuity of care, reduce barriers, and improve health outcomes. The Case Manager plays a critical role in care coordination, quality initiatives, and patient advocacy.Essential Duties and ResponsibilitiesManage a caseload of high-risk and high-cost patients with complex medical and social needsIdentify gaps in care, barriers to treatment adherence, and social determinants impacting healthConduct outreach and pre-visit planning to support care coordination and follow-upCollaborate with providers, care team members, and insurance partners to ensure continuity of careUpload required documentation into insurance portals to meet quality and compliance standardsCreate and analyze reports to monitor high-risk populations and care outcomesCoordinate referrals, authorizations, and access to community resources and support servicesAssist with clerical tasks including obtaining medical records, lab results, and consultation notesParticipate in quality improvement initiatives and required meetingsMaintain accurate documentation in the Electronic Health Record (EHR)Ensure confidentiality and HIPAA compliance at all timesRepresent the organization's mission, values, and commitment to patient-centered carePerform other duties as assignedKnowledge, Skills, and AbilitiesBasic understanding of medical terminology and healthcare documentationStrong organizational, analytical, and problem-solving skillsExcellent communication skills, both verbal and writtenAbility to work effectively with diverse populations and interdisciplinary teamsDemonstrates empathy, professionalism, and ethical conductStrong customer service orientation with a patient-first mindsetQualificationsLicensed Practical Nurse (LPN) or Associate degree in nursing, social work, or a related field (required)Minimum of five (5) years of nursing or healthcare experienceAt least one (1) year of case management or related experience preferredExperience with HEDIS, quality metrics, or care coordination preferredCurrent Basic Life Support (BLS) certification preferredAbility to obtain and maintain EHR (e.g., Epic) certification and required compliance trainingWorking Conditions & Physical RequirementsAbility to sit for extended periods of timeAbility to lift up to 20 lbs. regularly and 3050 lbs. occasionallyRegular exposure to computer screensPossible exposure to infectious or contagious diseaseBackground Screening Requirement: This position requires a Level 2 background screening through the Florida Agency for Health Care Administration (AHCA) Care Provider Background Screening Clearinghouse.