Job Title: Resource Specialist
Job Location:
Region B (Jacksonville, FL, Gainesville, FL)
Job Duration: 3 Months (intent to convert)
Position Purpose:
Provides resource support to members and connects members to local resources for various services (e.g., employment, housing, independent living, justice, foster care) based on care/service assessment and plans. Works with leadership to identify the best, most appropriate local resources for member's needs based on industry best practices.
This position will be field based and will provide care management to assist with coordination of care, including assessing for health care needs, referring to health plan providers, providing education on benefits/expanded benefits, and provide community resources to address social determinants of health needs. The caseload is 100 members. This position will document in an electronic health record and will be required to document outreach notes, complete assessments, and complete a care plan on each member.
Individual will work from their home and will also be required to go into the field.
Field visits could include home visits, visiting member in group home/hospital setting, or attending community/agency meetings.
Responsibilities:
- Helps with assessing member needs and develops or contributes to the development of care plans/service plans for members with care team in accordance with their goals and preferences for various services (e.g., employment, housing, independent living, justice, foster care, and/or community transitions) including the identification and coordination of referral for care/services
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- Assists with connecting members to local resources for various services (e.g., employment, housing, independent living, justice, foster care), obtaining required documentation and supporting the application process, as needed
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- Acts as an available resource for members seeking local resource services support and works with members to determine eligibility and care needs based on assessments and care plans/service plans
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- Monitors delivery of care/services and performs follow up to members, caregivers, and/or providers to verify members have been transitioned or have access to the appropriate care/service in a timely manner
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- Works with providers, community-based organizations, community stakeholders, and governmental entities to support members and their families and/or caregivers in accessing essential care/services and resources in the local community
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- Assists with developing education and training programs for care management staff and providers to improve resource service identification for members in the local community
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- Supports with efforts to draft materials and assists in the development of local resource services, policies, and procedures including programs, eligibility lease agreements, advocacy, retention, emergency or temporary housing
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- Ensure all resource services information is appropriately documented and up to date
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- May conduct telephonic and in-person outreach to locate individuals and families in the community who are hard to reach
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- Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
- Performs other duties as assigned
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- Complies with all policies and standards
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| Candidate Requirements |
| Required: Bachelor's Degree |
Preferred: n/a |
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| Required: Drivers License |
Preferred: n/a |
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Years of experience required:
2 years of pediatric case management experience
Experience connecting families/children to local resources for various services including employment, housing, independent living, justice, foster care, etc.
Microsoft Office- Outlook, Word, and Excel
Additional qualities to look for:
Health plan experience
Foster care and/or adoption experience |
| 1 |
2 years of pediatric case management experience |
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| 2 |
Experience connecting families/children to local resources for various services including employment, housing, independent living, justice, foster care, etc. |
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| 3 |
Health plan experience |
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Spectraforce Technologies
May 13, 2025