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Care Manager

Spectraforce Technologies
United States, Florida, Green Cove Springs
Apr 15, 2025
Title: Care Manager

Duration: 3 Months (Potential to extend/convert FTE)

Location:
Remote - Face-to-face visits at members' homes/other agreed-upon public locale. Highest need Clay, Duval, Volusia

Mon-Fri 8A-5P

Job Description:

  • COORDINATING CARE FOR SPECIAL NEEDS FAMILY ON THE CMS PLAN
  • Set tasking of assigned caseload Max 200 members
  • Virtual with a couple of in person meetings per year
  • Remote/Autonomous high tech work environment with field visits and telephone contact of members
  • Combination of Tier 3&4 (A good mix of both, but majority of Tier 4)
  • Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
  • May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
  • Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
  • Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
  • Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
  • Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
  • Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
  • Performs other duties as assigned
  • Complies with all policies and standards



Candidate Requirements
Education/Certification Required: Master's Degree Preferred: none
Licensure Required: LCSW/LMHC license active in Florida Preferred: None


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


Must haves: Pediatrics - Minimum of 2 years

Nice to haves: Bilingual Spanish/English preferred, Experience with electronic medical records, Basic Excel skills; medical background (hospital setting)

Disqualifiers: Non licensure

Performance indicators: Caseload compliance

Best vs. average:


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


1 Technology including Microsoft and EMR
2 Problem solving
3 Resource providing

Position is offered by a no fee agency.
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