Care Manager (RN)

Spectraforce Technologies; Orlando, Jacksonville (FL, FL); Remote; USD 60,000 - 75,000; Full time

Job summary

A leading healthcare provider is seeking a Care Manager (RN) to evaluate member needs and develop personalized care plans. This remote position requires collaboration with healthcare providers and supporting pediatric members. The ideal candidate will have a nursing degree and relevant experience, particularly in pediatric care.

Qualifications

• 2 years of pediatric experience required.
• Registered Nurse State Licensure required.

Responsibilities

• Evaluates member needs and develops ongoing care plans.
• Coordinates care between members and care provider teams.
• Provides education on disease processes and healthcare benefits.

Skills

Care Management

Collaboration

Communication

Education

Bachelor's degree in Nursing

Degree from an Accredited School of Nursing

Job description

Title: Care Manager (RN)

Location: Remote - Florida

Duration: 3 Months (Potential to Extend/Convert)

Shift: 8a-5p Monday - Friday - some flexibility in times (9-6 or whatever may be needed)

• Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome


• 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


• Other duties or responsibilities as assigned by people leader to meet business needs


• Performs other duties as assigned


• Complies with all policies and standards

Must haves:

• Required a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 - 4 years of related experience.


• 2 years of pediatric experience required - required per compliance because the program is providing care to complex pediatric members

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required


• Candidate must live in Florida.

Candidate Requirements
Required: Required a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing	Preferred: n/a
Required: RN - Registered Nurse - State Licensure and/or Compact State Licensure required	Preferred: n/a

Position is offered by a no fee agency.