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Lucie Adult & Senior Health Center 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:

Florida Community Health Centers, Inc. is seeking to staff Care Managers (i.e. medical assistants, health educators, LPNs, or care coordinators) for their Stuart, Fort Pierce, Clewiston, and West Palm Beach locations to support community health care access needs and the Care Management Program. Please apply if you are passionate about our mission to provide accessible, cost-effective, high quality, comprehensive health care to all persons in our communities. We are seeking candidates with experience in the following areas.

Role and Responsibilities:

Care Coordination - coordinating medical and dental treatment including chronic care management, including administering assessments and assisting patients in the management of their health and social needs.

• Scheduling appointments and conducting face-to-face office and telemedicine visits, and
• Developing care plans, (assessment of patient medical and/or social service needs; establishment of service plans); and monitoring medication compliance, maintenance of referral, tracking, and follow-up systems.

Teamwork building - 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.

• Initiate relationship building with patients, serving as advocates for and champions of the patients health, and
• 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. Closing the loop - clinical care gaps (performance indicators) to achieve desired clinical and financial outcomes
• Supports patient-centered medical home (PCMH) and activities aimed to health outcomes for population health management
• Works data and information files and well as access the medical record to support the continuity of care, and
• Initiates action planning for to reduce patient ER admissions and re-admits