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Job Description
Join Sunshine State Health Plan as a Case Manager and play a vital role in transforming healthcare for our members. You will develop personalized care plans, assess member needs, and ensure they receive high-quality, cost-effective healthcare. With a focus on flexibility and comprehensive benefits, this role is perfect for those passionate about making a difference in the community.
Key Responsibilities
Develops and facilitates care management activities for members
Evaluates member needs and barriers to care
Creates ongoing care plans and collaborates with providers
Coordinates care between members, families, and providers
Monitors member status and updates care plans as necessary
Provides resource support for local services
Facilitates care management and ensures timely access to care
Collects and documents member information for compliance
Educates members and families on care processes
Gives feedback to leadership on care improvement opportunities
Required Qualifications
Degree from an Accredited School of Nursing
Bachelor's degree in Nursing
2 – 4 years of related experience
RN - Registered Nurse - State Licensure and/or Compact State Licensure
Preferred Qualifications
Minimum of two years of pediatric experience
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)