Title: Care Manager
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/Certification	Required: Social Work- LCSW/LMHC license active in Florida			Preferred: N/A
Licensure	Required: N/A			Preferred: N/A
Years of experience required:		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
Top 3 must-have hard skills		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 : NA 

 


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.