Location : Remote FL, Face to face visits 80% work from home / 20% travel ((SPANISH SPEAKING HIGHLY PREFERRED ALMOST REQUIRED (for Hillsborough) POLK / HARDEE, HIGHLANDS)
SHIFT :
Monday Friday 8-5 EST
Possible Temp to Hire, hope is to convert (Based on performance, eligibility and Finance).
Walk me through the day-to-day responsibilities of this the role and a description of the project :
- This person will have metrics of calls that will need to be completed.
- Phone calls.
- 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)
Describe the performance expectations / metrics for this individual and their team :
Weighted 200 (depends on their acuity)
Job Description : Position Purpose :
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
Required Skills / Experience :
Preferred Skills / Experience :
2 4 years of related experience
2 years of peds experience within case management
Comfortability to complete high volume of calls while being able their caseload
Comfortability with face-to-face visits
Education Requirement :
Requires a Degree from an Accredited School of Nursing or a bachelor s degree in nursing and 2 4 years of related experience.
Education Preferred :
Software Skills Required :
Required Certifications :
RN - Registered Nurse - State Licensure and / or Compact State Licensure required Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and / or facilitates the plan for the best outcome
Required Testing : n / a
n / a