*Required Skills & Education:*
* Florida RN License
* 2+ years pediatric experience (MUST HAVE)
* Case Management experience highly preferred
* This role will be doing member visits, must be comfortable working face to face with members and travel
*Position Purpose: *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
*Responsibilities: *
* Develop, assess and adjust, as necessary, the care plan and promote desired outcome
* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
* Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
* Provide patient and provider education
* Facilitate member access to community based services
* Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
* Actively participate in integrated team care management rounds
* Identify related risk management quality concerns and report these scenarios to the appropriate resources
* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
#INDPM
Job Type: Full-time
Pay: $42.00 per hour
Expected hours: 40 per week
Experience:
* Nursing: 2 years (Required)
* Case management: 2 years (Required)
License/Certification:
* RN (Required)
Willingness to travel:
* 50% (Required)
Work Location: In person