[Urgent Search] LTSS Service Care Manager Position Available In Hernando, Florida

Job Description:

You could be the one who changes everything for our 28 millionmembers. Centene is transforming the health of our communities, oneperson at a time. As a diversified, national organization, you’llhave access to competitive benefits including a fresh perspectiveon workplace flexibility. This is a hybrid position seekingcandidates with a strong case management background to do fieldvisits conducting assessments with Sunshine Health Plan and themembers it serves. 75% in the field/25% work from home. Applicantsmust reside in Citrus County (Zip Codes 34428, 34429, 34442, 34461or 34450). Mileage reimbursement and all equipment provided.

Position Purpose:

Assists in developing, assessing, andcoordinating holistic care management activities to enable quality,cost-effective healthcare outcomes. May develop or assist withdeveloping personalized service care plans/service plans forlong-term care members and educates members and theirfamilies/caregivers on services and benefits available to meetmember needs.

• Evaluates the needs of the member, the resourcesavailable, and recommends and/or facilitates the plan for the bestoutcome
• Assists with developing ongoing long-term careplans/service plans and works to identify providers, specialist,and/or community resources needed for long-term care
• Coordinatesas appropriate between the member and/or family/caregivers and thecare provider team to ensure identified services are accessible tomembers
• Provides resource support to members and theirfamilies/caregivers for various needs (e.g. employment, housing,participant direction, independent living, justice, foster care)based on service assessment and plans
• Monitors care plans/serviceplans, member status and outcomes, as appropriate, and providesrecommendations to care plan/service plan based on identifiedmember needs
• Interacts with long-term care healthcare providersand partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care memberinformation and care management activities to ensure compliancewith current state, federal, and third-party payer regulators
• Mayperform home and/or other site visits to assess member’s needs andcollaborate with healthcare providers and partners
• Providesand/or facilitates education to long-term care members and theirfamilies/caregivers on procedures, healthcare providerinstructions, service options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve andenhance quality of care and service delivery for long-term caremembers in a cost-effective manner
• Performs other duties asassigned
• Complies with all policies and standards This is ahybrid position seeking candidates with a strong case managementbackground to do field visits conducting assessments with SunshineHealth Plan and the members it serves.

75% in the field/25% workfrom home. Applicants must reside in Citrus County (Zip Codes34472, 34473, 34475 or 34476. Mileage reimbursement and allequipment provided.

Education/Experience:

Requires a Bachelor’sdegree and 2

• 4 years of related experience.

Or equivalentexperience acquired through accomplishments of applicableknowledge, duties, scope and skill reflective of the level of thisposition.

Pay Range:

$26.50

• $47.

59 per hour Centene offers acomprehensive benefits package including: competitive pay, healthinsurance, 401K and stock purchase plans, tuition reimbursement,paid time off plus holidays, and a flexible approach to work withremote, hybrid, field or office work schedules. Actual pay will beadjusted based on an individual’s skills, experience, education,and other job-related factors permitted by law, including full-timeor part-time status. Total compensation may also include additionalforms of incentives. Benefits may be subject to programeligibility. Centene is an equal opportunity employer that iscommitted to diversity, and values the ways in which we aredifferent. All qualified applicants will receive consideration foremployment without regard to race, color, religion, sex, sexualorientation, gender identity, national origin, disability, veteranstatus, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will beconsidered in accordance with the LA County Ordinance and theCalifornia Fair Chance Act