Position Title : Resource Specialist
Work Location : Member-Facing - New Port Richey / Clearwater, FLorida
Assignment Duration : 3 Months Contract to Hire
Work Schedule : 8 am-5 pm, Monday through Friday
Work Arrangement : Field-based / Remote (work from home and into the field)
Position Summary :
- This position will be field based and will provide care management to assist with coordination of care, including assessing for health care needs, referring to health plan providers, providing education on benefits / expanded benefits, and provide community resources to address social determinants of health needs. The caseload is 100 members. This position will document in an electronic health record and will be required to document outreach notes, complete assessments, and complete a care plan on each member.
Background & Context :
Compliance with care management policies / procedures including outreach and documentation expectations.Individuals will be audited on a monthly basis to ensure charts are in compliance.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.Key Responsibilities :
This position will be field based and will provide care management to assist with coordination of care, including assessing for health care needs, referring to health plan providers, providing education on benefits / expanded benefits, and provide community resources to address social determinants of health needs.The caseload is 100 members.This position will document in an electronic health record and will be required to document outreach notes, complete assessments, and complete a care plan on each member.Compliance with care management policies / procedures including outreach and documentation expectations.Individuals will be audited on a monthly basis to ensure charts are in compliance.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.Qualification & Experience :
Pediatric case management experienceExperience connecting families / children to local resources for various services including employment, housing, independent living, justice, foster care, etc.Bachelor's DegreeMicrosoft Office- Outlook, Word, and ExcelInternal / External Groups with which the Candidate will interface :
Internal- Sunshine Health Care Management Department, Utilization Management, Medical Directors, Provider Engagement
External- Community Based Care agencies, Managing Entities, DCF, Agency for Healthcare Administration, Providers
Required Skills / Experience :
Preferred Skills / Experience :
1.
Pediatric case management experience
1.
Health plan experience
2.
Experience connecting families / children to local resources for various services including employment, housing, independent living, justice, foster care, etc.
2.
Foster care and / or adoption experience
3.
3.
Education Requirement :
Bachelor's Degree
Education Preferred :
Software Skills Required :
Microsoft Office- Outlook, Word, and Excel
Required Certifications :
Required Testing :
Position is offered by a no fee agency.