LTSS Service Care Manager

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.

Centene is Hiring - LTSS Service Care Manager (Hybrid, Lake County, FL)

Centene is seeking a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports (LTSS) team. This hybrid role covers Lake County, to include Clermont, Groveland, Tavares, Eustis within the following zip codes 34711, 34736, 32778, 32726.

This position is 75% field-based, with the opportunity to work remotely when not visiting members. Standard work hours are Monday - Friday, 8 : 00 AM - 5 : 00 PM (local time).

Key Responsibilities :

Provide case management support for members in their homes or facilities

Collaborate with healthcare providers, social service agencies, and community resources

Ensure members receive high-quality, person-centered care

Ideal Candidate :

Background in case management, healthcare, or social / community services

Strong ability to build relationships and support members in the community

Commitment to improving health outcomes and quality of life

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.

Pay Range : $26.50 - $47.59 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act