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Job Description
Join Sunshine State Health Plan as a Case Manager, where you'll develop personalized care plans for members, ensuring high-quality healthcare outcomes. This role requires strong pediatric experience and involves local travel to support our members effectively.
Key Responsibilities
Evaluate member needs and barriers to care
Develop ongoing care/service plans
Identify problems/barriers and provide interventions
Coordinate care between members, families, and providers
Monitor member status and revise care plans as needed
Provide resource support for local services
Facilitate care management and ensure timely access to services
Perform outreach to assess member needs
Document member information and care activities
Educate members and families on healthcare processes
Provide feedback for care quality improvement
Required Qualifications
Degree from an accredited school of nursing or a Bachelor's degree in Nursing
RN - Registered Nurse - State Licensure and/or Compact State Licensure
2 years of pediatric experience
Preferred Qualifications
Bilingual in Spanish
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules