MelbourneFLRecruiter Since 2001
the smart solution for Melbourne jobs

Care Manager I (RN)

Company: Sunshine State Health Plan
Location: Saint Cloud
Posted on: January 16, 2022

Job Description:

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 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
    Additional Details:

    • Hours: 8:30am-5pm with 1 hour lunch from 12-1pm.
      • Department: Children's Medical Services
        • Caseload: Pediatrics - Newborn to 21-year olds. Caseload of 40 members
          • Territory: Osceola County primarily. Can consider applicants that reside in Orange or Seminole Counties, too. Field/Local travel typically within county within 60 mile radius. Must reside in or be willing to relocate to the above mentioned area of Florida. Travel will be 75%.
            Our Comprehensive Benefits Package:

            • Flexible work solutions including remote options, hybrid work schedules and dress flexibility

            • Competitive pay

            • 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 development
              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.

Keywords: Sunshine State Health Plan, Melbourne , Care Manager I (RN), Executive , Saint Cloud, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Melbourne RSS job feeds