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Job Description
Join Sunshine State Health Plan as a Pediatric Care Manager (RN) and make a significant impact on the health of our members. This role involves developing personalized care plans, coordinating with healthcare providers, and ensuring high-quality healthcare outcomes for children with complex needs. Enjoy the flexibility of remote work with local travel opportunities.
Key Responsibilities
Develop and facilitate complex care management activities
Evaluate member needs and barriers to care
Develop ongoing care/service plans
Coordinate care between members, families, and providers
Monitor member status and update care plans as necessary
Provide resource support for local services
Facilitate care management and ensure timely access to care
Document member information and ensure compliance
Educate members and families on healthcare options
Provide feedback to leadership on care delivery improvements
Required Qualifications
Degree from an accredited school of nursing
Registered Nurse (RN) state licensure
2 years of pediatric experience
Preferred Qualifications
Bilingual Spanish speaker
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules