Title: Care Manager
Location: Member Facing - Broward County (20% - 30% Travel required)
Duration: 03 Months (Contract to Hire)
Shift: 8 AM to 5 PM EST

Responsibilities:

• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Managing Tier 4 (only face to face on enrollment) and Tier 3 (quarterly visits) won't have more than 12. 4 visits every month on average
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned 
• Complies with all policies and standards
• COORDINATING CARE FOR SPECIAL NEEDS FAMILY ON THE CMS PLAN; Needs based assessments ONLY not diagnostic; Acute Members with Medications
• CASELOAD COMPLIANCE PER CMS CONTRACT. FIELD VISITS, ASSESSMENTS, CARE PLANS
• Current caseload weighted average of 200 Members per CM
• Mostly Tier 4 (quarterly calls & face-to-face visits on enrollment); Tier 3 has quarterly visits (4 visits/monthly, but not a guarantee)
• Averaging between 200-225, but future goal to drop to 150, but depends on case load
• Pediatric Case Management: Calls to and from members to coordinate services; home visits; completion of assessment packets; meetings and trainings at times.
• Autonomous and able to set own schedules for member calls/assessments
  Works closely together and willing to assist each other when needed

Qualifications:

Candidate Requirements
Education/Certification	Required: Education/Experience: Requires a Master's degree in Behavioral Health or Social Work and 2 – 4 years of related experience.	Preferred:
Licensure	Required: LCSW/LMHC license active in Florida	Preferred:

Must-Haves:

1	Pediatrics – Minimum of 2 years
2	Knowledge of Electronic Health Record (EHR), keyboarding, 2+years of Pediatric Nursing Experience; Soft skills in communicating with members by phone and in person, as well as via email.  Microsoft Office (PowerPoint, Word, Excel); Bilingual skills an asset (Spanish, Creole, Portuguese)

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: $38.00/hr.