Pediatric RN Case Manager – Hybrid
Pediatric RN Case Manager – Hybrid
HealthCare Support is actively seeking a Pediatric RN Case Manager – Hybrid to fill an opening with a Centene – Sunshine State Health Plan in Columbia County Florida.
Daily Responsibilities for Pediatric RN Case Manager – Hybrid:
- Perform care management duties to assess, plan, and coordinate medical and support services across the continuum of care for select members, ensuring quality, cost-effective care.
- Conduct assessments and develop care plans to meet members’ socio-economic and healthcare needs, coordinating with PCPs, specialists, and non-medical staff as necessary.
- Conduct field visits within 60 miles, with flexibility in locations (home, park, or doctor’s office) based on member needs.
- Schedule and conduct brief, needs-based field visits with Tier 3 & 4 members, balancing work-from-home and travel responsibilities.
- Facilitate access to community resources, monitor referrals, and educate members and providers on available support services.
- Document assessments, authorizations, and relevant clinical information in medical management systems, maintaining efficient records for continuity of care.
- Monday – Friday, 8 am – 5 pm CST. Training required M-F, 8 am – 5 pm EST for the first 4 weeks (2 weeks instructor-led, 2 weeks shadowing).
Required Qualifications for Pediatric RN Case Manager – Hybrid:
- Clear and active FL RN License
- Minimum of 2+ years of pediatric nursing experience in a clinical setting, with documentation of age range, caseload, and percentage of pediatric cases.
- Valid Driver’s License, reliable transportation, and insurance.
- Proficient in Microsoft Office (Excel, Outlook, Word)
- Excellent documentation experience, knowledge of MCOs, and experience working with CMS and FL Kid Care populations up to ages 19 and 21, respectively.
- Work-from-home capability: smartphone, private workspace, high-speed internet.
Preferred Qualifications for Pediatric RN Case Manager – Hybrid:
- BSN
- Bilingual in Spanish or Creole
- Experience with managed care organizations (MCOs), case management, and EMR systems.
- Knowledge of healthcare and managed care standards.
Benefits for Pediatric RN Case Manager – Hybrid:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
- Conversion Compensation: Upon conversion, candidates may be eligible for Centene’s benefits package, valued at approximately 20-25% above the base salary, including annual merit increases and potential bonuses based on tenure (up to 6%)
Pay Details: 34/hour – 44.50/hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to jorge.cabrera@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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