LTSS Service Care Manager Job at Sunshine State Health Plan, Hialeah, FL

NkxsbU50b3hiMmJWNEpyS2JQdTdRVlFlSGc9PQ==
  • Sunshine State Health Plan
  • Hialeah, FL

Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

This is a remote/work-from-home opportunity where member visits are required. There will be local travel within a 30-mile radius up to 75% of the time. Candidates must reside in Palm Beach County to be considered for this role. Bilingual Spanish speaking preferred.

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.

  • Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
  • Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
  • Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
  • Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
  • Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
  • Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners
  • Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
  • Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires a Bachelor's degree and 2 – 4 years of related experience.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

License/Certification: Valid driver's license. LPN or RN preferred. Pay Range: $25.97 - $46.68 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Tags

Hourly pay, Holiday work, Local area, Remote job, Flexible hours,

Similar Jobs

MarketCast, Inc.

Senior Analyst, Content Insights (Media, Sports, Entertainment) Job at MarketCast, Inc.

 ...Senior Analyst, Content Insights ( Media, Sports, Entertainment) Location - LA (Hybrid) Data-Driven Research and Insights MarketCast combines the power of research, technology, and data science to help marketers and researchers maximize their advertising impact... 

LUXE

Virtual Scheduling Assistant Job at LUXE

 ...Embark on a rewarding career as a Virtual Scheduling Assistant with our dynamic and innovative team. We offer a unique business opportunity that allows you to work from the comfort of your home while earning competitive commissions. As a Virtual Scheduling Assistant... 

Lynn Community Health Center

Certified Enrollment Coordinator Job at Lynn Community Health Center

 ...Job Description Job Description Enrollment Coordinator Certified Are you interested in providing information about full range of medical and dental insurance programs ? Are you interested in updating demographic and insurance information? Are you looking for... 

Litvak Law Group

Experienced Contract Commercial Litigation Attorney 10+ years Job at Litvak Law Group

 ...and commercial litigation practice seeking highly experienced contract litigation attorney. Excellent academic credentials and...  ...Prior AmLaw 100 experience and courtroom experience is a plus. Work from home! Control your salary: the more you bill the more you earn! Send... 

V Lehmann Construction Co Inc. DBA: Lehmann Pools & Spas

Swimming Pool Service Technician Job at V Lehmann Construction Co Inc. DBA: Lehmann Pools & Spas

 ...after year. If you are looking to work on the cutting edge of the pool industry, this position is for you! Service Technician:...  ...Advanced water testing Basic math skills Read & Write English Swimming pool opening & winterizing experience Control System &...