Position Overview :
- Position Title : Resource Specialist
- Location : Remote, with fieldwork in regions such as New Port Richey, Clearwater, Tampa, Orlando, Maitland, Sarasota, and Fort Myers.
- Target Start Date : October 14 and October 28
- Reason for Opening : Expansion due to Sunshine Health's recent award of the sole source health plan for the child welfare population.
- Employment Type : Full-Time, with a potential for extension.
- Salary : $60,000 (FTE conversion).
Job Responsibilities : Field-based care management : Includes home visits, group home / hospital settings, and attending community / agency meetings.
Caseload : Manage a caseload of 100 members (children and young adults).
Core Tasks :
- Assess healthcare needs.
- Coordinate care with health plan providers.
- Provide education on health benefits.
- Connect members with community resources to address social determinants of health.
- Document outreach, assessments, and care plans in an electronic health record system.
Work Hours :
- Schedule : Monday to Friday, 8 AM - 5 PM.
- Additional Time : Weekend work may be needed during hurricane season for disaster outreach.
Performance Metrics :
- Compliance with care management policies and procedures.
- Monthly audits to ensure documentation and charts are compliant.
Required Skills & Experience :
- Pediatric case management experience.
- Experience connecting families / children to local resources (employment, housing, independent living, foster care, justice services, etc.).
Preferred :
- Health plan experience.
- Foster care and / or adoption experience.
Education Requirements :
Required : Bachelor’s Degree
Software Skills :
Proficiency in Microsoft Office : Outlook, Word, and Excel.
Interview Process :
- Interview Format : Panel interviews, 30 minutes each, with two interviewers.
- Preferred : Interview Blitz conduct all interviews in one day (9 AM - 5 PM), with a 1-hour lunch break.
What background can work :
- Dependency Case Manager
- Child Protective Investigator
- DCF Navigator
- Adoption Case Manager
- Targeted Case Manager
- Community Agency Worker
Teams & Interfacing :
- Internal : Sunshine Health Care Management, Utilization Management, Medical Directors, Provider Engagement.
- External : Community-based care agencies, DCF, Agency for Healthcare Administration, providers.
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