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CategoryHealthcare
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No of Jobs1
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Apply Before12/08/2025
Description
Pediatric Care Manager (RN), ECC
Sunshine Health - Opa-Locka, FL
Job Title: Pediatric Care Manager (RN), ECC
Position: Registered Nurse (RN)
Job Type: Full Time
Pay: $55,100.00 - $99,000.00 per year
Shift:
Work Type: Hybrid
Location
Address:
City: Opa-Locka
State: FL
ZIP Code:
Job Responsibilities
- Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
- Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as a priority and recommends and/or facilitates the plan for the best outcome.
- Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address the member's unmet needs.
- Identifies problems/barriers to care and provides appropriate care management interventions.
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services.
- Provides ongoing follow-up and monitoring of member status, change in condition, and progress towards care plan/service plan goals; collaborates with member, caregivers, and appropriate providers to revise or update care plan/service plan as necessary to meet the member's goals/unmet needs.
- Provides resource support to members and care managers for local resources for various services based on service assessments and plans, as appropriate.
- Facilitates care management and collaborates with appropriate providers or specialists to ensure the member has timely access to needed care or services.
- May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources.
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations.
- Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits.
- 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.
Required Skills
Core Skills
- Pediatric care experience
- Care management
- Provider collaboration
- Education and mentoring
- Resource identification and coordination
Preferred Skills
- Bilingual in Spanish and English
Requirements
Experience: 2 years of professional pediatric experience
Education: Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
License & Certification:
- Registered Nurse (RN) licensed in the State of Florida
Schedule:
- Local travel required (up to 80%)
COVID-19 Requirements: Not Specified
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
Supplemental Pay
- Not specified
Special Notes
- Centene is an equal opportunity employer that is committed to diversity.
Facility Details
Name: Sunshine Health
Description: A diversified, national organization transforming the health of communities.
Specialties:
- Healthcare
- Children's Medical Services
Mission: Transforming the health of our communities, one person at a time.
Job Info
Discipline:
Department:
Status:
Sourcing
Duration:
Experience:
Career Level:
No of Jobs:
1
Apply Before:
12/08/2025
Posted:
09/08/2025
