Title: Care Manager (RN)
Duration: 03 Months Contract-to-Hire
Location: Remote - FL | Member Facing (20%-50 % field work) Region 1 Escambia, Santa Rosa, Walton, or Okaloosa counties
Monday-Friday 8AM-5 PM
Position Purpose:
Provide coordinated care & support to children with special healthcare needs , ensuring they receive the necessary medical, social, educational, and other services
Responsibilities:
- Monthly to quarterly calls depending on assigned caseload.
- New member visits, quarterly visits as agreed upon, and prn visits in members home or other agreed upon location.
- Knowing that you played a part in improving a child's health and well-being.
- Working not only with the member, but also collaborating with parents, guardians, providers, and various departments within CMS to assist the member in meeting needs. etc.
- Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
- Identifies problems/barriers to care and provide appropriate care management interventions
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
- Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
- Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
- May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
| Candidate Requirements |
| Education/Certification |
Required: Requires a Degree from an Accredited School of Nursing or a bachelor's degree in nursing and 2 - 4 years of related experience. |
Preferred: n/a |
| Licensure |
Required: RN - Registered Nurse - State Licensure and/or Compact State Licensure required" |
Preferred: n/a |
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
|
Must haves:
- 2 - 4 years of related experience.
Nice to haves: Case management experience, Managed care experience
|
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
|
1 |
2 years pediatric experience |
| 2 |
Interpersonal skills and teamwork |
| 3 |
Organization and critical thinking skills |
Position is offered by a no fee agency.
|
Spectraforce Technologies
Apr 28, 2025