Pediatric Case Manager

2 weeks ago


jacksonville, United States IMCS Group Full time

Position Overview:

• Position Title: Resource Specialist

• Location: Remote, with fieldwork in Escambia County, Pensacola, Century, Okaloosa County, Crestview, Destin, Fort Walton Beach, Niceville, Valparaiso, Mary Esther, Laurel Hill, Santa Rosa County, Milton, Gulf Breeze, Jay, Walton County, DeFuniak Springs, Freeport, Paxton, Bay County, Panama City, Lynn Haven, Callaway, Springfield, Parker, Mexico Beach, Calhoun County, Blountstown, Altha, Franklin County, Apalachicola, Carrabelle, Eastpoint, Gadsden County, Quincy, Chattahoochee, Gretna, Havana, Midway, Gulf County, Port St. Joe, Wewahitchka, Holmes County, Bonifay, Esto, Noma, Ponce de Leon, Westville, Jackson County, Marianna, Graceville, Cottondale, Campbellton, Sneads, Alford, Jefferson County, Monticello, Leon County, Tallahassee, Liberty County, Bristol, Hosford, Madison County, Madison, Greenville, Lee, Taylor County, Perry, Wakulla County, Crawfordville, St. Marks, Sopchoppy, Washington County, Chipley, Vernon, Wausau, Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia Counties.

• Target Start Date: 11/18/2024

• Reason for Opening: Expansion due to Sunshine Health's recent award of the sole source health plan for the child welfare population.

• Employment Type: Full-Time, with a potential for extension.

• Salary: $60,000 (FTE conversion), or $28.80/hour on contract.

Job Responsibilities:

Field-based care management: Includes home visits, group home/hospital settings, and attending community/agency meetings.

Caseload: Manage a caseload of 100 members (children and young adults).

Core Tasks:

• Assess healthcare needs.

• Coordinate care with health plan providers.

• Provide education on health benefits.

• Connect members with community resources to address social determinants of health.

• Document outreach, assessments, and care plans in an electronic health record system.

Work Hours:

• Schedule: Monday to Friday, 8 AM - 5 PM.

• Additional Time: Weekend work may be needed during hurricane season for disaster outreach.

Performance Metrics:

• Compliance with care management policies and procedures.

• Monthly audits to ensure documentation and charts are compliant.

Required Skills & Experience:

• Pediatric case management experience.

• Experience connecting families/children to local resources (employment, housing, independent living, foster care, justice services, etc.).

Preferred:

• Health plan experience.

• Foster care and/or adoption experience.

Education Requirements:

• Required: Bachelor’s Degree

Software Skills:

• Proficiency in Microsoft Office: Outlook, Word, and Excel.

Interview Process:

• Interview Format: Panel interviews, 30 minutes each, with two interviewers.

• Preferred: Interview Blitz—conduct all interviews in one day (9 AM - 5 PM), with a 1-hour lunch break.

What background can work:

• Dependency Case Manager

• Child Protective Investigator

• DCF Navigator

• Adoption Case Manager

• Targeted Case Manager

• Community Agency Worker

Teams & Interfacing:

• Internal: Health Care Management, Utilization Management, Medical Directors, Provider Engagement.

• External: Community-based care agencies, DCF, Agency for Healthcare Administration, providers



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