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Pediatric Case Management Nurse (RN) - Managed Care
Miami, FL
**MUST HAVE PREVIOUS CASE MANAGEMENT EXPERIENCE FOR A MANAGED CARE ORGANIZATION AND PEDIATRIC EXPERIENCE**
Pediatric Case Manager Job Summary: Pediatric Case Manager Background:
Miami, FL
**MUST HAVE PREVIOUS CASE MANAGEMENT EXPERIENCE FOR A MANAGED CARE ORGANIZATION AND PEDIATRIC EXPERIENCE**
*** This is a Full Time, Benefits Available, CONTRACT opportunity expected to last through May 2024! ***
$30.00 - $35.00 / Hour is the amount that CareNational reasonably expects to pay someone for this position.
$30.00 - $35.00 / Hour is the amount that CareNational reasonably expects to pay someone for this position.
Pediatric Case Manager Job Summary:
- The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome.
- The primary responsibility of the Nurse Case Manager is to conduct health assessments, and then coordinate and monitor the care of Health Plan members and develop a nursing plan of care.
- They will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency.
- The Case Manager also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward a maximum level of independence.
- Valid, unrestricted state Registered Nurse (R.N.) license. BSN is a plus.
- Certification in Case Management (CCM) is preferred.
- At least 1-2 years prior experience working in a Case Management role.
- Prefer around 1-3 years prior experience at a Managed Care Organization (Health Plan, IPA, MSO, TPA, etc).
- Experience working with Federal and State assistance programs (Medicare/Medicaid/etc).
- Basic computer literacy (MS Office) and typing skills are necessary.
- Bilingual in English and Spanish is required.
