Foster Care-RN Care Manager I - Remote Available
Company: Sunshine State Health Plan
Location: Key Biscayne
Posted on: January 12, 2022
You could be the one who changes everything for our 25 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, multi-national organization,
you'll have access to competitive benefits including a fresh
perspective on workplace flexibility.
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
Develop, assess and adjust, as necessary, the care plan and promote
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
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
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
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and
Key Position -Details:
*Department: Children's Medical Services / Medical Foster Care
*Caseload: Pediatrics - Newborn to 21-year olds
*Territory: Broward, Miami-Dade -County (Ft -Lauderdale, Lauderhill
and Miami, FL area)
*Work-from-home case management role with indefinitely suspended
home visits due to COVID-19.
*Field/Local travel typically within the listed counties. Caseload
based on residence.
*Travel will be 75% (Once we resume -member home visits)
*Must reside in or be willing to relocate to the above mentioned
area of Florida.
Education/Experience: Graduate from an Accredited School of
Nursing. Bachelor's degree in Nursing preferred. 2+ years of
clinical nursing experience in a clinical, acute care, or community
setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
For Sunshine Health (FL) Only: Employees supporting Florida's
Children's Medical Services (CMS) must have a minimum of two years
of pediatric experience.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Sunshine State Health Plan, Key Biscayne , Foster Care-RN Care Manager I - Remote Available, Executive , Key Biscayne, Florida
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