Position Title: Pediatric Care Manager RN
Work Location: Florida (Boca Raton, Boynton Beach, West Palm Beach) 
Duration: Full-Time
Schedule: Monday - Friday 8:00 a.m. - 5:00 p.m.
Work Arrangement: Hybrid (50% Travel)
Salary: $55,100.00 - $85,000.00 per year

Position Summary:
Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

Key Responsibilities:

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• 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.

Qualifications & Experience:

Education/Experience:

• Bachelor’s degree in Nursing from an accredited institution or equivalent.

• Minimum 2–4 years of relevant experience, preferably in pediatrics.

Licensure/Certification:

• Active and unrestricted RN license in Florida (Compact State License acceptable).

Requirements:

• 2–4 years of Pediatric Nursing experience.

• Must reside in one of the listed locations.

• Bilingual in English and Spanish required.

Preferred Qualifications:

• Experience conducting home visits.

• Background in Community Health or Home Health Nursing.

 
 
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: $ 45.00/hr.