Nurse Care Specialist

  • Closing Date:


  • Job Summary:

    This is a professional, licensed position that will ensure the primary care service coordination for dependent children in care that is responsible for the Child Welfare Specialty Plan, 72-hour well-child checkups, monitor medical metrics and follow high risk/high need children..

  • Essential Functions:

    • Establishes and maintains positive working relationship with HFC internal and external customers
    • Assists in the coordination of medical care for children under dependency court supervision
    • Knowledgeable of case management and care coordination services
    • Ensures that an initial Health Risk Assessment is completed on children and submitted to Sunshine Health
    • Participate in staffings for children who have been assessed, recommended or placed in medical foster care, deemed medically complex or fragile, who have ongoing medical or dental needs, which impact their care while in the dependency system.
    • Participate on conference call meetings, attend and facilitate trainings.
    • Report any identified issues to child welfare case management, Sunshine Health or health care plan and places appropriate referrals for medical case management
    • Monitors immunization status and/or development of “catch up” immunization schedule for dependent children in collaboration with the caregiver and in accordance with the American Academy of Pediatrics periodicity schedule
    • Follows up with case manager and/or caregiver following all emergency admissions and document accordingly into Integrate system via IMV notes regarding discharge follow up recommendations
    • Monitor enrollment status of children overall and especially placed out of county or state
    • Alert HFC’s Resource Specialist when children on SSI enter into the system of care and are eligible for renewal of benefits
    • Process and submit Care Grants for children while ensuring the application is complete with accompanying documentation
    • Coordinate with REVMAX department in regards to appropriate demographic changes
    • Work closely with HFC’s Healthcare Effectiveness Data and Information Set (HEDIS) point of contact
    • Serves as a consultant to case management on making timely, appropriate and effective referrals to medical care services
    • Assist Children’s Medical Services (CMS) caregivers in obtaining Durable Medical Equipment, locating appropriate providers and specialists. Participates in discharge planning and coordination with health care plan from inpatient services including the monitoring of post-discharge follow-up appointments, ordered services and durable medical equipment.
    • Reviews the health and wellness reports, Florida Safe Families Network (FSFN) reports and other data sources for status of required annual physical, dental and vision screenings for children placed in out of home care and coordinate with child welfare case manager and/or caregivers as needed to ensure scheduling of needed appointments.
    • Notify Sunshine Health on all pregnant members within 24 hours of discovery and refer for Sunshine Health pregnancy case management
    • Monitor and track all children tested for COVID-19 and make referrals to sunshine once a member is identified to be positive
    • Perform and participate in other activities as assigned by Community Based Care Integrated Health (CBCIH) and HFC

  • Qualifications Required:

    Licensed registered nurse.

  • Qualifications Preferred:

    Minimum of two years of nursing experience preferably in the child welfare or behavioral health care setting.

  • Physical Requirements:

  • Benefits:

    We offer an excellent benefits package with tuition assistance, domestic partner coverage, retirement and generous paid time off. 

  • Additional Information:

    Drug free workplace. Drug testing req. EOE/M/F/D/V.

    This position has no patient interaction. 

    Starting salary of $50K



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