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Position Title: Care Manager (RN)
Work Location: Region 11, Ideally located in Hialeah, Miami, or North Miami
Assignment Duration: 03 Months Possibility to extend or convert
Work Schedule: M-F 8AM-5PM
Work Arrangement: Field-Based / Hybrid
Position Summary
This position will be with the Enhanced Care Coordination team for Children's Medical Services plan within Sunshine Health.
This team serves medically fragile children aged through 21 years, specifically members with private duty nursing services in the home.
Background & Context
This team serves members throughout the entire state of FL and operates in a very close-knit and collaborative environment.
Leadership is highly engaged and approachable, and the team prioritizes excellence, accountability, time management, and documentation quality.
Key Responsibilities
* Making phone calls to parents of members to collect information to complete annual assessments
* Conducting monthly required update calls
* Conducting a monthly face-to-face visit and if visit declined a second monthly call or a virtual visit replaces it
* Calling DME companies and providers if a parent states a problem
* Managing difficult parents at times
* Responding to escalations and/or complaints as needed
* Monthly regulatory reporting compiling updates obtained on each member of their caseload
* Complete all required calls/contacts/visits or calls in place of visits
* Collect assessments on time
* Compile monthly information regarding member status into an assessment called an ECC note that is required by end of month
* Teams meeting or a phone call with the PDN agency every 6 months to review the care plan agency has provided
* Maintain great documentation
| Education/Certification |
Required: ASN |
Preferred: BSN |
| Licensure |
Required: RN |
Preferred: N/A |
Years of experience required: Per contract, 2 years of Pediatric experience is required
Disqualifiers: Poor documentation, poor communication skills, poor time management skills, inexperience with technology, limited pediatric experience.
Additional qualities to look for: RN that has hospital experience in Pediatrics, PICU, or NICU; home health experience with pediatrics. Prior case management experience is helpful. Computer skills, including understanding of Microsoft programs (Word, Outlook, Excel). |
- Top 3 must-have hard skills stack-ranked by importance
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1 |
2 years Pediatric RN experience |
| 2 |
Field visits required |
| 3 |
Computer literacy |
Position is offered by a no fee agency.
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