Care Manager

Spectraforce Technologies

United States, Florida, Immokalee

Jan 07, 2025

Title: Care Manager (RN)

Duration: 06 Months ( YES - Contingent to Hire?)

Location: Member Facing (Immokalee specifically, which is technically Collier County / other areas of collier would not help us?)

Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):

A CMS Care Manager is responsible for outreaching members on a scheduled frequency to assess their unresolved healthcare needs work through barriers or obstacles to those needs being met. This may involve outreach to providers, suppliers, vendors, or other internal Sunshine Health departments in order to coordinate the member's care.

Describe the performance expectations/metrics for this individual and their team:

CMS Care Managers are required to meet the contract requirements set forth by AHCA and DOH. At a minimum, means either monthly or quarterly phone contact with our members, completing annual needs assessment packages with them, and quarterly in-person visits with some of our members. Accurate documentation and outreach is monitored on a continuous basis by chart audits, caseload audits, and recorded call audits.

Required Skills/Experience:		Preferred Skills/ Experience:
1.	2 years of experience working with the pediatric population is required	1.	child welfare system, community mental health agencies, and trauma-informed practices
2.	Health Plan Experience	2.	Bi-lingual
3.		3.
Education Requirement:	Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.	Education Preferred:
Software Skills Required:	Microsoft Office - Outlook, Word, Excel
Required Certifications:	LMHCs or LCSWs	Required Testing:

Position is offered by a no fee agency.