Care Manager

7 days ago

Seminole, United States Pyramid Consulting, Inc Full time

Immediate need for a talented Care Manager (RN). This is a 03+ Months Contract opportunity with long-term potential and is located in Osceola/ Orange/ Seminole(Remote). Please review the job description below and contact me ASAP if you are interested.


Job ID:24-52217


Pay Range: $36 - $38/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:


  • Required to complete daily outreach calls based on member specific tiers.
  • Outreach calls are to check in on the members, follow up on their needs, remove any barriers to care for the members.
  • Based on members needs the call volume will vary 5-20 calls per day.
  • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs.
  • Identifies problems/barriers to care and provide appropriate care management interventions.
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centred care or services.
  • Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.
  • Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate.
  • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services.
  • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources.
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
  • Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits.
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner.
  • Other duties or responsibilities as assigned by people leader to meet business needs.
  • Performs other duties as assigned.
  • Complies with all policies and standards.


Key Requirements and Technology Experience:


  • Skills- 2+ years of clinical nursing experience (pediatric).
  • Required a Degree from an Accredited School of Nursing or a bachelor’s degree in nursing.
  • RN – Registered Nurse – State Licensure and/or Compact State Licensure Required.
  • NOTE:Quarterly meetings held at in office location 6801 W Colonial Drive, Suite E Orlando 32818. Based on tier of member, leadership may ask for them to meet with the member to connect with family, (NOT CLINICAL) more so a supportive liaison.


Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.


Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


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