LTSS Service Care Manager

Praxy; West Palm Beach (FL); On-site; USD 37,000 - 67,000; Full time

Job summary

Praxy is seeking a field-based Care Manager in West Palm Beach, FL to develop and coordinate holistic care plans for long-term care members. You will assess needs, identify providers, and educate members and families on available services.

The role requires a Bachelor’s degree in health, human, social work, or education services with 2–4 years of relevant experience. Strong communication and organizational skills are essential for success in a regulatory-driven environment.

Qualifications

• Bachelor's degree in health, human, social work, or education services.
• 2–4 years of related experience in care management.
• Experience with LTSS, Medicaid managed care, and HCBS.
• Strong assessment, communication, and time-management skills.

Responsibilities

• Evaluate member needs and resources to plan best outcomes.
• Develop and coordinate long-term care/service plans and identify resources.
• Coordinate between members, families, and care providers to ensure services are accessible.
• Provide education on procedures, services, and benefits to members and families.
• Maintain member information to meet regulatory requirements and ensure compliance.
• May conduct home/site visits to assess needs and collaborate with providers.
• Provide feedback to leadership on quality improvement opportunities.
• Perform other duties as assigned.

Skills

Assessment skills

Communication skills

Computer proficiency

Time management

Education

Bachelor's degree in health, human, social work, or education services

High school diploma or equivalent

Job description

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.

Key Details: This is a field-based position, and applicants must reside in West Palm Beach, Florida. The ideal candidate should have experience with LTSS and Medicaid managed care, as well as experience working with HCBS. Strong assessment skills, excellent communication and customer service skills, computer proficiency, strong organizational and management skills, and effective time management skills are essential for success in this role. The standard work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.

• 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

Individuals with a Bachelor’s degree in health, human, social work or education services with one or more years of qualifying experience; or a high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.

Experience: Experience interviewing and assessing member needs; Knowledge and experience regarding caseload management and casework practices; Knowledge regarding determining eligibility for DHSS programs; Knowledge regarding Federal and State law as it applies to DHSS programs; The ability to effectively solve problems and locate community resources; The ability to collaborate with caregivers, involved State agency representatives and providers; Good interpersonal skills; Ability to practice Cultural Competency with awareness and respect for diversity; and Knowledge of the needs and service delivery system for all populations in the case manager’s caseload.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Pay Range: $27.02 - $48.55 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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