Case Manager

RemoteWorker US; Bartow (FL); Remote; USD 55,000 - 99,000; Full time

Job summary

A leading healthcare organization is looking for a Case Manager to develop and facilitate care management for mental and behavioral health needs. This remote position involves evaluating member needs, coordinating care, and requires a Master's degree along with specific licensure in Florida. Candidates with pediatric experience and Spanish-speaking skills are highly preferred, ensuring comprehensive support for their community's health.

Benefits

Comprehensive benefits package

Tuition reimbursement

Paid time off plus holidays

Qualifications

• Requires a Master's degree in Behavioral Health or Social Work and 2 – 4 years of related experience.
• Candidates must be licensed in the State of Florida.

Responsibilities

• Develops and facilitates complex care management activities for mental and behavioral health.
• Evaluates member needs and recommends care plans.
• Coordinates with community resources and monitors care plans for efficacy.

Skills

Pediatric experience

Bilingual Spanish

Education

Master's degree in Behavioral Health or Social Work

Job description

Join to apply for the Case Manager role at RemoteWorker US

11 hours ago Be among the first 25 applicants

Join to apply for the Case Manager role at RemoteWorker US

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 position is remote/field based with local travel required for member visits. Candidates must be licensed in the State of Florida and should reside in one of the following counties to be considered for the role: Hillsborough, Polk, Manatee, Hardee, or Highlands.

• Pediatric experience is required.
• Bilingual Spanish speaking candidates are 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 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, 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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Staffing and Recruiting

Referrals increase your chances of interviewing at RemoteWorker US by 2x

Sign in to set job alerts for “Case Manager” roles.

Bartow, FL $55,100.00-$99,000.00 11 hours ago

Highland City, FL $55,100.00-$99,000.00 11 hours ago

Winter Haven, FL $55,100.00-$99,000.00 11 hours ago

Lake Alfred, FL $55,100.00-$99,000.00 11 hours ago

Babson Park, FL $55,100.00-$99,000.00 11 hours ago

Winter Haven, FL $55,100.00-$99,000.00 11 hours ago

Winter Haven, FL $55,100.00-$99,000.00 11 hours ago

Dundee, FL $55,100.00-$99,000.00 11 hours ago

Lake Alfred, FL $55,100.00-$99,000.00 11 hours ago

Southeastern University Master’s Level Mental Health Counselor, Clinical Social Worker, or Marriage and Family Therapist Registered Internship

Registered Nurse Case Manager - Hardee County

(PRN) RN Case Manager - Highlands, Hardee and Polk

Lakeland, FL $80,000.00-$85,000.00 1 week ago

Bilingual (English & Spanish) Master's Level Mental Health Outpatient Therapist, Counselor or Social Worker

Plant City, FL $85,500.00-$85,500.00 5 days ago

Lakeland, FL $80,000.00-$85,000.00 1 week ago

Master's Level Mental Health Outpatient Therapist, Counselor or Social Worker

Plant City, FL $85,500.00-$85,500.00 5 days ago

Lakeland, FL $70,500.00-$96,900.00 1 week ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.