New

Care Manager

Spectraforce Technologies

remote work

United States, Florida, Palm Beach

Apr 15, 2025

Title: Care Manager

Location: Remote - 80% work from home /Travel is based on caseload (30%)

Duration: 3 Months (Potential to Extend/Convert)

Shift: 8-5 M-F, no OT

Region 9 - St. Lucie, Indian River, Okeechobee, Martin and Palm Beach.

Must haves: Pediatric experience of 2 years minimum

Nice to haves: Case Management experience

Responsibilities:

May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner

Must haves:

Pediatrics - Minimum of 2 years

Nice to haves:

Bilingual preferred
Experience with electronic medical records
Basic Excel skills

Candidate Requirements
Education/Certification	Required: Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years of related experience.	Preferred:
Licensure	Required: LCSW/LMHC license active in Florida	Preferred:

Position is offered by a no fee agency.