Care Manager (RN)

Position Title: Care Manager (RN)
Work Location: Remote, FL
Assignment Duration: 3 months (Possibility to extend or convert)
Work Schedule: 8am-5pm
Work Arrangement: Remote

Position Summary:
Enhanced Discharge Planning Team (EDCP) who make outbound calls to Medicaid members who are discharged from the hospital to prevent re-admissions. EDCP team assesses immediate needs/barriers, complete transition of care assessment by day 10 post discharge day and attempt to remove barriers and meet needs and follow up post discharge appt with a medical or BH provider.

Key Responsibilities:

• Enhanced Discharge Planning Team (EDCP) who make outbound calls to Medicaid Sunshine Health plan members who are discharged from the hospital to prevent re-admissions.
• EDCP team assesses immediate needs/barriers, complete transition of care assessment by day 10 post discharge day and attempt to remove barriers and meet needs and follow up post discharge appt with a medical or BH provider.
• Fast paced, busy day, working on your own from home with phone, email or Team IM support from supervisor, Lead and team members
• Clock in and be ready to start outreaches at 8 am.
• Receive and review new assignments daily by 8:30 am
• All newly assigned cases (10 daily) must be contacted same day as assigned and make follow up calls to members providers and vendors
• Working from home
• Educating and interacting with members
• Team members are busy but will assist each other as needed
• Learning a different aspect of nursing
• Creating new opportunities and experiences

Qualification & Experience:
* Required Associate or Baccalaureate degree in nursing
* Preferred: Baccalaureate degree in nursing
* RN (compact is okay)
* Preferred: RN
* Must haves: 2-3 years Care Management experience with all age groups
* Nice to haves: Discharge planning experience; Care Management Certification
* Disqualifiers: Cannot answer questions regarding your past work experience during interview.
* Performance indicators: Audit scores 90% or above monthly; 1:1 meetings with Supervisor
* Top 3 must-have hard skills: Must be good with technology; Outbound calling experience; Critical thinking
* Must be able to work in fast paced environment; quick learner; hit the ground running for this temp role

Candidate Requirements Required Associate or Baccalaureate degree in nursing Preferred: Baccalaureate degree in nursing RN (compact is okay) Preferred: RN

• Years of experience required
• Disqualifiers
• Best vs. average
• Performance indicators

Must haves: 2-3 years Care Management experience with all age groups

Nice to haves: Discharge planning experience; Care Management Certification

Disqualifiers: Cannot answer questions regarding your past work experience during interview.

Performance indicators: Audit scores 90% or above monthly; 1:1 meetings with Supervisor

Best vs. average:

• Top 3 must-have hard skills
• Level of experience with each
• Stack-ranked by importance
• Candidate Review & Selection

1 Must be good with technology 2 Outbound calling experience 3 Critical thinking

4 Must be able to work in a fast-paced environment; quick learner; hit the ground running for this temp role