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Salary: $67,055/year Position Summary: Coordinate, support, and assist children and families in accessing necessary services through the Sunshine Health Plan. Manage an active caseload of children and youth in out-of-home care, ensuring timely completion and updates of assessments. Monitor and enforce compliance with designated treatment timeframes outlined by the Sunshine Child Welfare Specialty Plan. Provide a case management overlay to support medical treatment planning and coordination. Review medical records to ensure appropriate levels of care and effective discharge planning. Advocate for clients and deliver training and guidance to clinical staff, subcontracted case management organizations, and child-placing agencies on medical necessity requirements, ensuring adherence to the highest standards and all mandated guidelines. This is a hybrid position. Technical/Functional Expectations: 1. Caseload Management-Essential Function: Manage active caseload of children and youth in out of home care to ensure timely updated assessments. 2. Care Coordination: Ensure designated timeframes for treatment of children covered by the Sunshine plan. Provide case management overlay of medical treatment. 3. Records Verification-Essential Function: Assess records for appropriate level of care and treatment including discharge planning to verify status. 4. Assessments and Supports: Assess, identify and refer to Sunshine Health Plan those covered individuals who may need physical or behavioral healthcare management, health coaching or care coordination. 5. Advocacy and Training: Provide client advocacy, training and information about medical necessity requirements to clinical staff and subcontracted Case Management and Child Placing Agencies to ensure the highest standards and mandated requirements are met. 6. Effective Verbal Communication: Exhibit excellent verbal communication skills to children, caregivers, stakeholders and staff. 7. Multidisciplinary Team Meetings -Participate in Family Team Conferencing as appropriate in order to serve client needs. 8. Other duties as required: Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes. Behavioral Competencies: 1. Trust and Respect: Able to deal with people in a straightforward, open manner; keep dealings with others confidential. keep word and fulfill commitments; build one-on-one relationships, incorporating trust and respect. 2. Integrity: Able to adhere to established policies and procedures; protect confidential information; do what is right even when no one is watching; consistently comply with organizational values. 3. Attention to Detail: Able to document and provide complete, accurate information; track details even when under pressure; pay attention to details when preparing documents; be thorough when checking for accuracy. 4. Customer Service: Able to anticipate and respond to customer needs, concerns, or questions; help evaluate needs and options; show care and concern to demonstrate customer importance and value; deliver on commitments or service that meet or exceed customer expectations. 5. Problem Solving: Able to exercise judgment in building realistic solutions to problems; understand the real issues behind problems; apply common sense and take practical action to solve problems. 6. Concern for Quality: Able deliver quality results in tasks or assignments; seek to remove barriers on self or others that prevent quality results; take time to do things right and ensure quality results; identify underlying issues or reasons for quality issues and fix them. 7. Sensitivity: Work effectively with and show sensitivity to cultural differences and various socio-economic backgrounds of others. 8. Ethics: Adhere to and model principles and values of Agency and System of Care by being strength-based, solution-focused, maintains highest level of integrity and ethical standards and work collaboratively with employees, partners, stakeholders and clients in all interactions. Business Experience: 1. Registered Nurse (RN): Minimum of 3 years of nursing experience, preferably in the child welfare or behavioral/medical health care setting. 2. Strong time-management and organizational skills: Ability to manage multiple tasks and timeliness while ensuring completion of duties 3. Data analysis: Ability to analyze, integrate, sort and report data 4. Computer program application: Proficiency in Microsoft Office Suite including Word, Outlook and Excel Educational and Experience Requirements: 1. RN required. 2. 3+ years’ experience required. 3. Experience working with DCF and/or ACHA preferred. Physical Requirements: 1. Lifting 25 pounds 2. Carrying 25 pounds 3. 5 % Reaching 4. 60 % Sitting 5. 5 % Stooping / Crouching 6. 10 % Bending Family Partnerships of Central Florida is an Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status. These employers also maintain Drug-Free Workplaces. Requests for Auxiliary Aids for Hearing Impaired or Limited English Proficiency Candidates may be made with a minimum of five (5) days notice to C Hernandez at (321) 752-4650.