Care Manager RN, Behavioral Health in Miami, FL
On-siteMiami, Florida, United States
Job Summary
Conduct comprehensive member assessments to determine care management eligibility based on clinical triggers and psychosocial wellness. Develop and implement individualized care coordination plans in collaboration with physicians, caregivers, and multidisciplinary teams. Perform telephonic, face-to-face, or home visits to monitor care progress, document interventions, and suggest plan adjustments. Facilitate interdisciplinary care team meetings and promote service integration across behavioral health, long-term services, and community resources. Maintain ongoing member caseloads for regular outreach while addressing barriers to care and providing medication reconciliation as needed. Requires active RN license, valid driver's license, and ability to handle 25-40% local travel.
Required Qualifications
- At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience
- Registered Nurse (RN)
- License must be active and unrestricted in state of practice
- Valid and unrestricted driver's license
- reliable transportation
- adequate auto insurance for job related travel requirements
- Understanding of the electronic medical record (EMR)
- Understanding of Health Insurance Portability and Accountability Act (HIPAA)
- Demonstrated knowledge of community resources
- Ability to operate proactively
- detail-oriented work
- Ability to work within a variety of settings
- adjust style as needed
- working with diverse populations
- various personalities
- personal situations
- Ability to work independently
- minimal supervision
- self-motivation
- Responsiveness in all forms of communication
- ability to remain calm in high-pressure situations
- Ability to develop and maintain professional relationships
- Excellent time-management and prioritization skills
- ability to focus on multiple projects simultaneously
- adapt to change
- Excellent problem-solving
- critical-thinking skills
- Strong verbal and written communication skills
- Microsoft Office suite/applicable software program proficiency
- ability to navigate online portals and databases
- 25-40% estimated local travel
Desired Qualifications
- Certified Case Manager (CCM)
- passionate about supporting pediatric members
- delivering high-quality care
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