Pediatric Health Care Coordinator
Job Title
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Pediatric Care Manager RN
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Description
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This position supports a population of primarily medically complex pediatric members across the MMA and Florida Healthy Kids Medicaid lines of business. The role is remote, working from home with field visits to members as needed.
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Key Responsibilities
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Telephonic and face-to-face assessment, planning, implementation, and coordination of care management activities with members.
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Proactive course of action to address issues presented and facilitate short- and long-term outcomes.
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Comprehensive assessments of members' needs and recommendations for case resolution.
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Clinical judgment to incorporate strategies designed to reduce risk factors and address complex health and social indicators.
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Assessments taking into account information from various sources to address all conditions.
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Requirements
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Must reside in Miami-Dade, FL or a surrounding county.
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Bilingual in Spanish.
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Active current unrestricted RN licensure in the state of Florida.
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2+ years of experience with pediatric patient care as an RN.
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Willing and able to travel 10-20% of the time.
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Reliable transportation required.
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2+ years' experience using personal computers and MS Office Suite applications.
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Preferred Qualifications
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Experience managing pediatric behavioral health conditions.
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Case management experience.
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Certified Care Manager (CCM) Certification.
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Managed care or utilization review experience.
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Salary Range
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$54,0+5.60 - $116,760.80.
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Benefits
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We offer a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and employee stock purchase