LTSS Service Care Manager

Cenetene Corporation; Tallahassee (FL); On-site; Full time

Job summary

An established industry player is seeking a dedicated care coordinator to enhance healthcare outcomes for its members. In this pivotal role, you will assist in developing personalized care plans and coordinate services to ensure members receive the support they need. With a focus on case management and collaboration with healthcare providers, you will play a crucial part in improving the quality of care. This position offers a blend of remote and on-site work, allowing for flexibility while making a significant impact in the community. If you are passionate about healthcare and eager to make a difference, this opportunity is for you.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedule

Qualifications

• Bachelor's degree required with 2-4 years of relevant experience.
• Experience in case management and working with Medicare/Medicaid.

Responsibilities

• Develop and coordinate holistic care management activities.
• Evaluate member needs and recommend care plans for optimal outcomes.
• Monitor care plans and provide feedback for quality improvement.

Skills

Case Management

Medicare Services

Medicaid Services

Care Coordination

Education

Bachelor's Degree

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.

Applicants must reside in Hernando County as the position will service members in that area. 75% travel/25% work from home. We are in search of experience in case management and working with Medicare/Medicaid Services/benefits.

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.

1. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome.
2. 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.
3. Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members.
4. 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.
5. Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs.
6. Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met.
7. 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.
8. May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners.
9. 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.
10. 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.
11. Performs other duties as assigned.
12. 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. 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.