Care Manager

Spectraforce Technologies; Florida; Remote; USD 60,000 - 90,000; Full time

Job summary

An innovative firm is seeking a dedicated Care Manager to provide exceptional support to pediatric patients. This role involves developing care plans, coordinating with healthcare providers, and ensuring access to necessary services. The ideal candidate will have a Master's degree in Behavioral Health or Social Work, along with a strong background in pediatrics. You'll work in a collaborative environment focused on improving care quality and accessibility for members. If you're passionate about making a difference in healthcare, this opportunity is perfect for you.

Qualifications

• Master's degree required with 2-4 years of related experience.
• Active LCSW/LMHC license in Florida is mandatory.

Responsibilities

• Develop ongoing care plans for members with high acuity.
• Coordinate services between members, families, and care providers.
• Monitor care plans and provide recommendations based on member needs.

Skills

Pediatric experience

Care coordination

Communication skills

Basic Excel skills

Education

Master's degree in Behavioral Health or Social Work

Degree from an Accredited School of Nursing

Tools

Electronic medical records

Job description

Title: Care Manager

Location: Remote - 80% work from home /Travel is based on caseload (30%)

Duration: 3 Months (Potential to Extend/Convert)

Shift: 8-5 M-F, no OT

Region 9 - St. Lucie, Indian River, Okeechobee, Martin and Palm Beach.



Must haves: Pediatric experience of 2 years minimum



Nice to haves: Case Management experience



Responsibilities:

• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources


• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders


• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members


• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs


• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services


• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators


• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs


• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner

Must haves:

• Pediatrics - Minimum of 2 years

Nice to haves:

• Bilingual preferred


• Experience with electronic medical records


• Basic Excel skills

Candidate Requirements
Education/Certification	Required: Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.	Preferred:
Licensure	Required: LCSW/LMHC license active in Florida	Preferred:

Position is offered by a no fee agency.