[6/25/2025] Case Manager Position Available In Palm Beach, 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.

Position Purpose:

Develops, assesses, andfacilitates complex care management activities for primarilyphysical needs members to provide high quality, cost-effectivehealthcare outcomes including personalized care plans and educationfor members and their families. Must reside in Central or West PalmBeach County. Bilingual Spanish speaking is also preferred.

• Evaluates the needs of the member, barriers to accessing theappropriate care, social determinants of health needs, focusing onwhat the member identifies as priority and recommends and/orfacilitates the plan for the best outcome
• Develops ongoing careplans / service plans and collaborates with providers to identifyproviders, specialists, and/or community resources to addressmember’s unmet needs
• Identifies problems/barriers to care andprovide appropriate care management interventions
• Coordinates asappropriate between the member and/or family/caregivers and thecare provider team to ensure members are receiving adequate andappropriate person-centered care or services
• Provides ongoingfollow up and monitoring of member status, change in condition, andprogress towards care plan / service plan goals; collaborate withmember, caregivers, and appropriate providers to revise or updatecare plan / service plan as necessary to meet the member’s goals /unmet needs
• Provides resource support to members and caremanagers for local resources for various services (e.g.,employment, housing, participant direction, independent living,justice, foster care) based on service assessment and plans, asappropriate
• Facilitate care management and collaborate withappropriate providers or specialists to ensure member has timelyaccess to needed care or services
• May perform telephonic,digital, home and/or other site outreach to assess member needs andcollaborate with resources
• Collects, documents, and maintains allmember information and care management activities to ensurecompliance with current state, federal, and third-party payerregulators
• Provides and/or facilitates education to members andtheir families/caregivers on disease processes, resolving caregaps, healthcare provider instructions, care options, referrals,and healthcare benefits
• Provides feedback to leadership onopportunities to improve and enhance care and quality delivery formembers in a cost-effective manner
• Other duties orresponsibilities as assigned by people leader to meet businessneeds
• Performs other duties as assigned.
• Complies with allpolicies and standards.

Must reside in Central or West Palm BeachCounty. Bilingual Spanish speaking is also preferred.

Education/Experience:

Requires a Degree from an Accredited Schoolof Nursing or a Bachelor’s degree in Nursing and 2

• 4 years ofrelated experience.

License/Certification:

• RN•Registered Nurse•State Licensure and/or Compact State Licensure required•Thiswill support Florida’s Children’s Medical Services (CMS) must havea minimum of two years of pediatric experience.

May require up to80% local travel required

Pay Range:

$55,100.00

• $99,000.

00 peryear 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 flexibleapproach to work with remote, hybrid, field or office workschedules. Actual pay will be adjusted based on an individual’sskills, experience, education, and other job-related factorspermitted by law, including full-time or part-time status. Totalcompensation may also include additional forms of incentives.

Benefits may be subject to program eligibility. Centene is an equalopportunity employer that is committed to diversity, and values theways in which we are different. All qualified applicants willreceive consideration for employment without regard to race, color,religion, sex, sexual orientation, gender identity, nationalorigin, disability, veteran status, or other characteristicprotected by applicable law. Qualified applicants with arrest orconviction records will be considered in accordance with the LACounty Ordinance and the California Fair Chance Act