Position Title: Care Manager (RN) 
Work Location: Candidate must reside within region 11 – Miami-Dade, Monroe
Bilingual is preferred for any county 
Member Facing Face to face visits 80% work from home /Travel is based on caseload (30%), Leadership works to have the new hire work within a 50-mile radius – may vary based on caseload
Assignment Duration: 3 months-Contract to Hire
Work Schedule: 8:00 AM – 5:00 PM, Monday to Friday

The first day will align with training/onboarding. The first day will consist of setting up computer, completing onboarding tasks, reviewing training schedule, and meeting with the training team. Onboarding is 4 weeks. Once training is completed they will be aligned with a preceptor.

• 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. 
• 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
• 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.
• Looking for someone who is passionate to support those with behavioral health / mental health
  Face to face visit outreach
  They will have a backup buddy who will be their partner for coverage
  They will make their own calendar – the new hire would be responsible for setting their own member visits and caseload management
  Weekly team meetings
  Team has a incredibly supportive team / leadership
  New hires are met with 1:1 on a weekly basis
  Will work very closely with leadership and will have open support
   
• Must haves:

• Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Pediatric experience (2 years) – would love case management but not required precisely
  	2	Bi-Lingual
  	3	Behavioral Health Experience (training, certification, etc.)

  2+ years of social work experience or licensed mental health counselor in an acute
• care or community setting.
• Experience connecting families/children to local resources for various services including employment, housing, independent living, justice, foster care, etc.
• Behavioral Health Experience
• Strong communication
• Time management
• Critical thinking
• Computer literacy and Microsoft office (excel) filtering, - moderate level
•  
  Nice to haves:
• Health plan experience
• Foster care and/or adoption experience
• Bi-Lingual
• Knowledge of government sponsored managed care programs preferred.
• Psych background as long as the license is there with it
• BA Case Management as a RN

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. 

Location : Miami, FL, 33013 

 


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: $39.00/hr.