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Care Manager (RN)

Spectraforce Technologies
United States, Florida, Malone
May 06, 2025
Title: Care Manager (RN)

Location: need to look for candidates in Washington, Jackson, or Holmes County, will travel within 60 miles of their location for home visits with members


Duration: 03 Months (Potential to extend/convert)

Shift: Monday-Friday 8 am - 5 pm


"Position Purpose:

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Education/Experience:

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

License/Certification:

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

Resoinsibilities:

  • Case management for children medical services (0-age 21)
  • Tier 4 & 3 members
  • Completing telephonic outreach monthly or quarterly
  • Home visits upon member enrollment, quarterly for tier 3 members.
  • Attending meetings, meetings for members, participation in regional meetings and activities that are required by the team.
  • All documentation is completed through TruCare,
  • Teams, Zoom is used with the team
  • Caseload weighted at 200 (combined between tier 3(called monthly and visits) and 4 members(calls quarterly)
  • Approximately 15 calls per day


Must haves:

  • 2 years Pediatric nursing required (Peds RN, OB) - anything home health related
  • Must be comfortable traveling to members' homes
  • Must be understanding that caseload in Behavioral and Medical caseloads
  • Psych and family oriented experience


Nice to haves:

  • Case Management
  • TruCare
  • Community Care
  • Medicaid Experience (AHCA)



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


Position is offered by a no fee agency.
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