Care Manager

Spectraforce Technologies

United States, Florida, Miami

May 06, 2025

Title: Care Manager (RN)

Duration: 03 Months - Contract to Hire

Location: Remote FL (Member Facing) - Candidate must reside within region 11 - Miami Dade; Monroe

Face to face visits, Caseload based travel (80%/30%), Max 50 mile radius

Leadership works to have the new hire work within a 50-mile radius - may vary based on caseload

Monday - Friday 8-5 EST

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.

Responsibilities:

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.
Coordinate care (finding providers)
Assisting in authorization
Creating assessments and care plans
Required to complete daily outreach calls based on member specific tiers
Based on members needs the call volume will vary 5-20 calls per day
Contractual obligation is a weighted 200 caseload
Tier 3 - 2.2
Tier 4 - 1
Outreach calls are to check in on the members, follow up on their needs, remove any barriers to care for the members.
Ensuring that the children's needs are met (having issues at school, having a home health aide to assist)
Leadership will complete chart and call audits on a monthly basis or as needed.
Documentation is key

Education/Experience:

Requires a Degree from an Accredited School of Nursing or a bachelor's degree in nursing and 2 - 4 years of related experience.

Candidate Requirements
Education/Certification	Required: Social Work- LCSW/LMHC license active in Florida	Preferred: N/A
Licensure	Required: N/A	Preferred: N/A
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: 2 years' Peds experience Nice to haves: Bilingual preferred BH high plus because of diagnosis needed in some cases Experience with electronic medical records Basic Excel skills Disqualifiers: Performance indicators: Case by case for metrics: performance based, expected high documentation of calls Best vs. average:
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Pediatrics - Minimum of 2 years
2	Microsoft - Excel (must be able to use filtering)
3	Computer Savvy

Position is offered by a no fee agency.