Care Manager
Spectraforce
Miami, Florida
a month ago
Job Description
Title: Care Manager (RN)
Duration: 03 Months - Contract to Hire
Location: Remote FL (Member Facing) – Candidate must reside within region 11 – Miami Dade; Monroe
Face to face visits, Caseload based travel (80%/30%), Max 50 mile radius
Leadership works to have the new hire work within a 50-mile radius – may vary based on caseload
Monday – Friday 8-5 EST
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.
Responsibilities:
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.
Position is offered by a no fee agency.
Location : Various, Various, Florida, United States, 99999
About Us: SPECTRAFORCE is one of the fastest-growing workforce solutions firms in the United States. As a diversity-owned business, we place human connection at the heart of everything we do, building strong relationships with both clients and candidates to fill roles successfully. Our teams in North and Central America and India serve more than 150 Fortune clients globally, leveraging custom AI technology to provide direct hire, executive search, nearshoring, offshoring, and project staffing solutions.
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer.
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $40.71/hr.
Duration: 03 Months - Contract to Hire
Location: Remote FL (Member Facing) – Candidate must reside within region 11 – Miami Dade; Monroe
Face to face visits, Caseload based travel (80%/30%), Max 50 mile radius
Leadership works to have the new hire work within a 50-mile radius – may vary based on caseload
Monday – Friday 8-5 EST
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.
Responsibilities:
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
- Coordinate care (finding providers)
- Assisting in authorization
- Creating assessments and care plans
- Required to complete daily outreach calls based on member specific tiers
- Based on members needs the call volume will vary 5-20 calls per day
- Contractual obligation is a weighted 200 caseload
- Tier 3 – 2.2
- Tier 4 - 1
- Outreach calls are to check in on the members, follow up on their needs, remove any barriers to care for the members.
- Ensuring that the children’s needs are met (having issues at school, having a home health aide to assist)
- Leadership will complete chart and call audits on a monthly basis or as needed.
- Documentation is key
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.
| Candidate Requirements | ||||
| Education/Certification | Required: Social Work- LCSW/LMHC license active in Florida | Preferred: N/A | ||
| Licensure | Required: N/A | Preferred: N/A | ||
| 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 Disqualifiers: Performance indicators: Case by case for metrics: performance based, expected high documentation of calls Best vs. average: | |||
| 1 | Pediatrics – Minimum of 2 years | ||
| 2 | Microsoft – Excel (must be able to use filtering) | |||
| 3 | Computer Savvy | |||
Position is offered by a no fee agency.
Location : Various, Various, Florida, United States, 99999
About Us: SPECTRAFORCE is one of the fastest-growing workforce solutions firms in the United States. As a diversity-owned business, we place human connection at the heart of everything we do, building strong relationships with both clients and candidates to fill roles successfully. Our teams in North and Central America and India serve more than 150 Fortune clients globally, leveraging custom AI technology to provide direct hire, executive search, nearshoring, offshoring, and project staffing solutions.
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation.
California Applicant Notice: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com.
LA County, CA Applicant Notice: If you are selected for this position with SPECTRAFORCE, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background check. We consider qualified applicants with arrest or conviction records for employment in accordance with all local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background check assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-related safety, security, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer.
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $40.71/hr.