Nurse Care Manager

Reports To: SeniorManager,ClinicalServices Role Type: Part-Time About Bluebird Kids Health Bluebird Kids Health is a dynamic, early-stage organization that provides underserved communities with new access to high-quality value-based pediatric primary care. We are on a mission to provide exceptional care, so every child can thrive. We offer comprehensive, evidence-based primary and urgent care services to children and their families, with support around-the-clock. Our care model includes robust care coordination, chronic disease management, and other population health supports. Our success is measured by exceptional health outcomes, lower medical costs, an outstanding child and family experience, and a rewarding environment for our clinicians and staff. Position Description Bluebird Kids Health is seeking a dedicated and compassionate Nurse Care Manager to join our dynamic CARES Center team. The CARES Center serves as our enterprise access and remote care hub, delivering essential resources, education, and support to children and their families. The Nurse Care Manager will play a critical role in supporting medically complex pediatric populations through coordinated, patient-centered care. This role aligns with Florida Medicaid (AHCA) and HEDIS quality standards, focusing on reducing avoidable emergency department (ED) utilization, improving chronic disease outcomes, and ensuring timely follow-up care. Reporting to the Senior Manager, Clinical Services, you will collaborate closely with our Provider team to provide seamless care coordination and clinical support, ensuring exceptional healthcare delivery across our pediatric clinics. Your contributions will directly support our mission to provide exceptional care so every child can thrive. What You’ll Do Care Management Provide chronic disease and complex care management for pediatric patients, including but not limited to Asthma, ADHD, and Obesity Perform timely post-discharge and post-ED outreach to re-engage patients in care and ensure continuity with our patient-centered medical home Schedule and ensure completion of post-acute follow-up visits within established timeframes (e.g., within 30 days of a chronic disease related ED or inpatient visit) Develop, implement, and update individualized, family-centered care plans Educate and coach patients and families on self-management, at-home strategies, and medication adherence Proactively track patient outcomes such as acute exacerbations, ED/urgent care utilization, and hospitalizations Quality & Performance Management Manage quality measures tied to Patient Centered Medical Home (PCMH) accreditation and Medicaid value-based contracts Close care gaps such as ED follow-ups, well-child visits, and condition-specific measures Participate in and help drive quality improvement initiatives Documentation & Compliance Maintain accurate, timely, and comprehensive documentation for all patient interactions in the EHR Document and track ED visits, follow-ups, and chronic disease interventionsEnsure compliance with Florida Medicaid requirements Ensure adherence to internal policies, HIPAA regulations, and applicable local, state, and federal healthcare standards to guarantee a safe and compliant healthcare environment Other duties as assigned. What You’ll Need Required Bachelor's degree in nursing preferred or 5-10 years of work experience BLS Certification Unencumbered Florida Registered Nurse (RN) or Licensed Practical Nurse (LPN) Minimum 5 years of clinical experience Care Management Experience Value Based Care experience preferred Strong communication and interpersonal skills with the ability to engage effectively with patients, families, and the healthcare team. Excellent organization and time-management skills to handle multiple tasks and priorities efficiently Bilingual proficiency in English and Spanish is strongly preferred Experience with pediatric populations is strongly preferred Preferred Medicaid or pediatric experience Knowledge of HEDIS measures and Patient Centered Medical Home Accreditation Bluebird Kids Health is an Equal Employment Opportunity Employer. We embrace the richness of diversity and do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We recognize that traditional job requirements can sometimes inadvertently exclude talented individuals from underrepresented backgrounds or those who have taken non-traditional paths to acquire their skills. Therefore, even if you do not meet every listed requirement or have gained your qualifications in unconventional ways, we wholeheartedly encourage you to apply. We value passion, potential, and the drive to learn just as highly as formal qualifications, and we are committed to building an inclusive workplace where everyone’s contributions are valued. What We Offer The opportunity to lead a product-first technology agenda within a mission-driven pediatric care delivery organization. A competitive compensation package with performance incentives and, for some roles, equity participation. A collaborative and dynamic workplace with significant professional growth opportunities. A diverse and inclusive company culture that values every team member’s contribution to our mission. Competitive medical, vision, and dental insurance products. Other programs including employee assistance, caregiver support, commuter benefits, flexible spending accounts, health savings accounts, short- and long-term disability benefits, and other exclusive employee benefits. Generous paid time off #J-18808-Ljbffr Bluebird Kids Health