Quality Manager at JANA developing quality management systems and driving continuous improvement across the organization. Ensures products and processes meet quality standards while fostering a collaborative environment.
About the role
- Pediatric Care Manager (RN) focused on enhancing healthcare outcomes for members with complex needs. Requires RN licensure and a minimum of two years pediatric experience, based in Palm Beach County, FL.
Responsibilities
- Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes
- Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs
- Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources
- Identifies problems/barriers to care and provide appropriate care management interventions
- Coordinates between the member and/or family/caregivers and the care provider team
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan goals
- Provides resource support to members and care managers for local resources
- Facilitate care management and collaborate with appropriate providers or specialists
- Collects, documents, and maintains all member information and care management activities
- Provides and/or facilitates education to members and their families/caregivers on disease processes
Requirements
- Two (2) years minimum of related professional pediatric care experience
- RN licensure required
- Must reside in Palm Beach County, FL
- Bilingual Spanish speaking candidates highly preferred
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
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