Position Overview:

We are seeking a qualified Care Manager to join the Sunshine State Health Plan team, focusing on pediatric care management . This role involves working closely with members, providers, and internal teams to address healthcare needs and coordinate comprehensive care. The position is remote , but candidates must reside within Hendry or Glades counties , or specifically in Immokalee (Collier County).

Key Responsibilities:

• Proactively outreach to members on a scheduled basis to assess unresolved healthcare needs and address barriers to care.
• Collaborate with providers, suppliers, vendors, and internal departments to coordinate care.
• Conduct monthly or quarterly phone contacts with members, annual needs assessments, and quarterly in-person visits as required.
• Accurately document all member interactions, outreach efforts, and care coordination activities.
• Ensure compliance with contract requirements set forth by AHCA and DOH, monitored through chart audits, caseload reviews, and recorded call evaluations.
• Apply trauma-informed practices when working with members, especially those involved in the child welfare system or community mental health settings.

Qualifications:

Required:

• Education:
• Master’s degree in behavioral health or social work, or a degree from an accredited School of Nursing.
• Relevant certifications: Licensed Mental Health Counselor (LMHC) or Licensed Clinical Social Worker (LCSW) .
• Experience:
• Minimum of 2 years working with the pediatric population.
• Proficiency in Microsoft Office (Outlook, Word, Excel).
• Other Skills:
• Strong understanding of healthcare coordination processes and documentation.

Preferred:

• Experience in:
• Child welfare systems.
• Community mental health agencies.
• Trauma-informed care practices.
• Bilingual skills.

Work Schedule:

• Monday to Friday, 8:00 AM to 5:00 PM (EST).

Training:

• Initial training includes 4 weeks of virtual instructor-led sessions , following a brief orientation with the supervisor during the first two days.

Additional Details:

• Duration: 6 months, with potential for extension or transition to full-time employment.
• Target Start Date: February 10, 2025 (Clear by Date: January 27, 2025).

About Us:

At Sunshine State Health Plan, we are committed to providing high-quality, member-focused care to meet the diverse needs of our pediatric population. Join us to make a meaningful difference in the lives of children and families.

If you have a passion for working with children, a strong background in behavioral health, and a commitment to providing trauma-informed care, we encourage you to apply!