Pediatric field RN Care Coordinator in Jacksonville or Miami, FL
About the position Responsibilities • Serve as primary care manager for members with primary complex medical needs • Engage members through various modalities to complete comprehensive needs assessments • Develop and implement person-centered care plans addressing chronic health conditions and wellness • Collaborate with internal care teams, providers, and community resources to implement care plans • Monitor and update care plans based on member feedback and compliance with interventions • Provide education and coaching for member self-management and lifestyle changes • Assist members in developing personal wellness and health crisis plans • Perform activities to support HEDIS/STAR gap closure, including appointment scheduling and verification • Monitor medication compliance and refer to pharmacists for reviews and recommendations • Reassess and update care plans with changes in condition or needs • Support proactive discharge planning and coordinate care transitions after hospital visits • Access and coordinate Medicaid benefits to support care needs • Document all care management activities in clinical records Requirements • Current, unrestricted, independent licensure as a Registered Nurse • 4+ years of relevant clinical work experience • 3+ years of experience managing needs of complex populations (e.g., Medicare, Medicaid) • 3+ years of clinical pediatric experience • 1+ years of community case management experience coordinating care for individuals with complex needs • Reside in the state of Florida Nice-to-haves • Bachelor's degree or greater • Certification in Case Management (CCM) • Experience with vulnerable subpopulations including children with special health care needs • Behavioral health experience • Bilingual experience - Spanish • Home care / field-based case management Benefits • Flexible work options including remote work • Opportunities for professional development • Recognition for performance • Supportive work environment Apply tot his job