Complex Care Manager

Capital Health Plan is seeking an experienced Complex Care Manager to join our team in Tallahassee, FL. This full-time role is ideal for a clinical professional who is passionate about care coordination, improving health outcomes, and supporting individuals with complex healthcare needs. If you are looking for an opportunity to apply your clinical expertise, lead meaningful interventions, and make a direct impact on the quality of care members receive, this could be the next step in your career. Apply today to join a team committed to delivering exceptional healthcare outcomes!

As our Complex Care Manager, you'll earn a competitive wage. We also offer an outstanding benefits package, including:

• Health coverage and dental insurance
• Health and dependent care spending accounts
• Short and long-term disability
• Major disability time off (MDTO)
• Retirement plan
• Life and AD&D insurance
• Voluntary life and AD&D insurance
• Paid time off (PTO)
• Employee assistance program
• SmartDollar

THE TYPE OF CANDIDATE WE'RE LOOKING FOR

• Bachelor's degree or equivalent combination of education and related experience
• Licensed Medical Professional
• Current Certified Case Manager (CCM) certification or able to obtain within 12 months of hire
• Strong communication, problem-solving, and care coordination skills
• Ability to manage complex, chronic, and/or catastrophic medical cases
• Knowledge of medical coding, regulatory guidelines, and evidence-based clinical practices
• Proficiency with Microsoft Office applications
• Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents
• Ability to effectively present information to top management, public groups, and/or boards of directors
• Strong math skills

If you can meet the requirements above, keep reading to find out what your day entails!

YOUR DAY-TO-DAY AS A COMPLEX CARE MANAGER

In this full-time role, you'll manage a panel of members, assess healthcare needs, and create individualized care plans. You'll collaborate with physicians and providers to implement and monitor these plans while identifying opportunities to improve outcomes and address barriers to care. Additionally, you'll evaluate program effectiveness, ensure regulatory compliance, and serve as a trusted resource for members and care teams.

ABOUT OUR COMPANY

We are a not-for-profit health care organization that has served the panhandle since 1982, delivering high-quality, affordable, and patient-centered care. Our employees are essential to our continued success, and their passion, motivation, and commitment drive our reputation for excellence and member satisfaction.

Whether delivering direct care, supporting patients, or ensuring smooth operations behind the scenes, every team member plays a vital role in fulfilling our mission to improve the health of our communities. We are dedicated to fostering a professional, respectful, and inclusive workplace where employees are valued, supported in their growth, and empowered to make a meaningful impact.

TAKE THE NEXT STEP

Join a healthcare team that values your experience, supports your growth, and empowers you to make a meaningful difference each day. Our initial application process is fast, easy, and mobile-friendly. Apply today to be our Complex Care Manager!

CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.