Talent.com
No longer accepting applications
Care Manager

Care Manager

Sunshine State Health PlanTALLAHASSEE, FL, United States
30+ days ago
Job type
  • Full-time
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.

  • Qualified candidates must be based in Broward County in the state of Florida. This position involves travel for fieldwork, including in-home visits. Bilingual candidates highly preferred.

Position Purpose : Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

  • Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and / or facilitates the care plan / service plan for the best outcome, which may include behavioral health and social determinant needs
  • May perform telephonic, digital, home and / or other site visits outreach to assess member needs and collaborate with resources
  • Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
  • Coordinates as appropriate between the member and / or family / caregivers, community resources, and the care provider team to ensure identified services are accessible to members
  • Monitors care plans / service plans and / or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan / service plan based on identified member needs
  • Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
  • Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
  • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • Education / Experience : Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.

    License / Certification :

    Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

    For Sunshine Health (FL) Only : Employees supporting Florida's Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience. May require up to 80% local travel required

    Pay Range : $55,100.00 - $99,000.00 per year

    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.

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

    Create a job alert for this search

    Care Manager • TALLAHASSEE, FL, United States

    Related jobs
    Account Manager - Commercial Lines

    Account Manager - Commercial Lines

    Insurance Office of AmericaTallahassee, FL, US
    Full-time
    Title : Account Manager - Commercial Lines.Fully Remote | Book Focus : Hospitality.Please note : If this position is posted as either fully remote and / or hybrid, in accordance with company policy, ind...Show moreLast updated: 30+ days ago
    • Promoted
    RN / Assistant Nurse Manager- Neonatal Care Unit

    RN / Assistant Nurse Manager- Neonatal Care Unit

    Tallahassee MemorialTallahassee, FL, US
    Full-time
    Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia.We are a career destinati...Show moreLast updated: 10 days ago
    • Promoted
    Care Coordinator

    Care Coordinator

    CDAC Behavioral HealthcareTallahassee, FL, US
    Full-time
    CDAC Behavioral Healthcare is looking for someone to join our Substance Exposed Newborn / Neonatal Abstinence Syndrome (SEN / NAS) program into Circuit 2 (Gadsden, Leon, Liberty, Wakula, Franklin, Jeff...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long Term Acute Care - $1,858 per week

    Travel Nurse RN - Long Term Acute Care - $1,858 per week

    GHR HealthcareTallahassee, FL, United States
    Full-time
    GHR Healthcare is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Tallahassee, Florida.Job Description & Requirements. For over 30 years, GHR Healthcare has been the bridg...Show moreLast updated: 30+ days ago
    • Promoted
    Critical Care Float Pool - Registered Nurse

    Critical Care Float Pool - Registered Nurse

    Trusted HealthTallahassee, FL, USA
    Full-time
    Trusted is seeking an experienced nurse for this exciting travel nursing assignment.Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the ...Show moreLast updated: 30+ days ago
    • Promoted
    RN Case Manager

    RN Case Manager

    Core Medical-PermTallahassee, FL, US
    Permanent +1
    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management for a nursing job in Tallahassee, Florida.Job Description & Requirements. Candidates are required to have a minimum of 3 year...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse RN Case Manager

    Travel Registered Nurse RN Case Manager

    OneStaffMedicalTallahassee, FL, USA
    Full-time
    An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find ...Show moreLast updated: 30+ days ago
    • Promoted
    Staff - RN Case Manager - $32-44 per hour

    Staff - RN Case Manager - $32-44 per hour

    Core Medical-PermTallahassee, FL, US
    Permanent +1
    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management for a nursing job in Tallahassee, Florida.Job Description & Requirements Specialty : Case Management Discipline : RN Start Date : A...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Manager

    Clinical Manager

    NHC HealthCare ColumbiaTallahassee, FL, US
    Full-time
    The Clinical Manager / Director of Nursing is a Registered Nurse who manages and directs all patient care services and personnel in the HomeCare agency. NHC HomeCare Tallahassee is looking for a Clini...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Acute Care

    Travel Nurse RN - Acute Care

    Vibra TravelsTallahassee, FL, US
    Full-time
    Vibra Travels is seeking a travel nurse RN Acute Care for a travel nursing job in Tallahassee, Florida.Job Description & Requirements. VIBRA TRAVELS is looking for a CORPORATE TRAVEL REGISTERED ...Show moreLast updated: 30+ days ago
    • Promoted
    Care Coordinator

    Care Coordinator

    DNA Comprehensive Therapy ServicesTallahassee, FL, US
    Full-time
    Come grow with us! Elite DNA Behavioral Health is one of the largest providers of behavioral and mental health services in Florida – and we’re expanding quickly! We believe in providing...Show moreLast updated: 30+ days ago
    Home Health Aid (HHA) and Personal Care Aid (PCA)

    Home Health Aid (HHA) and Personal Care Aid (PCA)

    Right at Home TallahasseeTallahassee, Florida
    Full-time
    Quick Apply
    Ready to Make a Real Difference? Join Right at Home Tallahassee!.Ready to serve a population that needs you.Certified Nursing Assistant CNA. We’re excited to connect with you and help you start maki...Show moreLast updated: 30+ days ago
    • Promoted
    LPN Care Manager

    LPN Care Manager

    PreemptiveAITallahassee, Florida, United States
    Full-time
    About Preemptive Health Preemptive Health is rebuilding healthcare around a simple idea : .Today’s system waits until people are in crisis—after the heart attack, after the diagnosis, after the bill....Show moreLast updated: 1 day ago
    • Promoted
    Pediatric Clinical Manager (RN) - Registered Nurse

    Pediatric Clinical Manager (RN) - Registered Nurse

    Aveanna HealthcareTallahassee, FL, United States
    Full-time
    Pediatric Clinical Supervisor (RN).Full-Time | Competitive Benefits Package.Pediatric Extended Care Center (PECC).Pediatric Day Health Care Center (PDHC). Here, kids up to age eight receive.Full-Tim...Show moreLast updated: 30+ days ago
    • Promoted
    Staff - RN Case Manager - $32-44 per hour

    Staff - RN Case Manager - $32-44 per hour

    Core Medical GroupTallahassee, FL, US
    Permanent +1
    Core Medical-Perm is seeking a Registered Nurse (RN) Case Management for a nursing job in Tallahassee, Florida.Job Description & Requirements. Candidates are required to have a minimum of 3 year...Show moreLast updated: 1 day ago
    • Promoted
    Travel RN - Case Management - $1,995 per week

    Travel RN - Case Management - $1,995 per week

    HealthTrust Workforce Solutions HCATallahassee, FL, United States
    Full-time
    HealthTrust Workforce Solutions HCA is seeking a travel nurse RN Case Management for a travel nursing job in Tallahassee, Florida. Job Description & Requirements.Must have HCA Experience and MIDAS.T...Show moreLast updated: 30+ days ago
    • Promoted
    Direct Care Staff

    Direct Care Staff

    A LOVING PLACE CALLED HOME INCQuincy, FL, US
    Full-time +1
    A Loving Place Called Home, Inc.The ideal candidate is hard working, responsible, punctual, and works well independently. As a direct care staff member, you would be responsible for assisting reside...Show moreLast updated: 30+ days ago
    • Promoted
    Care Coordinator (IDD Pilot Program)

    Care Coordinator (IDD Pilot Program)

    Independent Living SystemsTallahassee, FL, US
    Full-time
    We are seeking a Care Coordinator for the IDD Pilot Program to join our team at Independent Living Systems (ILS).ILS, along with its affiliated health plans known as Florida Community Care and Flor...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - PCU - Progressive Care Unit - $2,051 per week

    Travel Nurse RN - PCU - Progressive Care Unit - $2,051 per week

    HealthTrust Workforce Solutions HCATallahassee, FL, United States
    Full-time
    HealthTrust Workforce Solutions HCA is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Tallahassee, Florida. Job Description & Requirements.About HealthTrust Workfo...Show moreLast updated: 30+ days ago
    Senior Account Manager - Commercial Lines

    Senior Account Manager - Commercial Lines

    Insurance Office of AmericaTallahassee, FL, US
    Full-time
    Title : Senior Account Manager - Commercial Lines.Fully Remote | Book Focus : Real Estate.Please note : If this position is posted as either fully remote and / or hybrid, in accordance with company poli...Show moreLast updated: 30+ days ago