Job Title: Care Manager
Location: Hendry and Glades. we would also look at a candidate in Immokalee specifically collier county.
Duration: 6 months
Shift: Standard
Pay rate: $40.0045.00/hr
Education:
- Requires a Masters degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 4 years of related experience.
Required Certifications:
- LMHCs or LCSWs/ Licensed Behavioral Health Professional or RN based on state contract requirements e.g. LCSW LMSW LMFT LMHC LPC and RN with BH experience required
Responsibilities:
- A CMS Care Manager is responsible for outreaching members on a scheduled frequency to assess their unresolved healthcare needs work through barriers or obstacles to those needs being met. This may involve outreach to providers suppliers vendors or other internal Sunshine Health departments in order to coordinate the members care.
Describe the performance expectations/metrics for this individual and their team:
- CMS Care Managers are required to meet the contract requirements set forth by AHCA and DOH. At a minimum means either monthly or quarterly phone contact with our members completing annual needs assessment packages with them and quarterly inperson visits with some of our members. Accurate documentation and outreach is monitored on a continuous basis by chart audits caseload audits and recorded call audits.
Skills:
- 2 years of experience working with the pediatric population is required
- Health Plan Experience
Software Skills Required:
- Microsoft Office Outlook Word Excel