Care Manager

Spectraforce Technologies; Miami (FL); Remote; USD 60,000 - 90,000; Full time

Job summary

An innovative firm is seeking a dedicated Care Manager to enhance member care through evaluations, care coordination, and resource facilitation. This role involves a mix of face-to-face visits and remote work, ensuring that members receive timely access to necessary services. The ideal candidate will have a strong background in pediatric care and hold an active LCSW/LMHC license in Florida. Join a dynamic team committed to improving healthcare outcomes and making a positive impact in the community. If you're passionate about providing quality care and have the required experience, this opportunity is perfect for you.

Qualifications

• 2 years of pediatric experience is essential for this role.
• LCSW/LMHC license in Florida is required.

Responsibilities

• Evaluate member needs via phone or in-home visits and recommend care plans.
• Coordinate between members, families, and care providers for accessible services.

Skills

Pediatric experience

Bilingual

Behavioral health knowledge

Electronic medical records

Basic Excel skills

Education

LCSW/LMHC license active in Florida

Job description

Title: Care Manager

Duration: 03 Months - Contract to Hire

Location: Remote FL (Member Facing) - Candidate must reside within region 11 - Miami Dade; Monroe

Member Facing Face to face visits 80% work from home /Travel is based on caseload (30%)

Leadership works to have the new hire work within a 50-mile radius - may vary based on caseload

Monday - Friday 8-5 EST



Responsibilities:

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs


• 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


• Performs other duties as assigned


• Complies with all policies and standards

Must haves:

• 2 years' Peds experience

Nice to haves:

• Bilingual preferred


• BH high plus because of diagnosis needed in some cases


• Experience with electronic medical records


• Basic Excel skills

Candidate Requirements
Required: Social Work- LCSW/LMHC license active in Florida	Preferred: N/A
Required: N/A	Preferred: N/A

Position is offered by a no fee agency.