Pediatric Care Manager - Behavioral Health

Sunshine Health; Fort Myers (FL); Remote; USD 55,000 - 99,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated Pediatric Care Manager specializing in Behavioral Health. In this remote position, you will play a crucial role in developing personalized care plans for members with mental and behavioral health needs. Your responsibilities will include assessing member needs, coordinating care, and ensuring high-quality healthcare outcomes. This role offers the opportunity to make a significant impact on the lives of families while enjoying a flexible work environment. Join a forward-thinking team committed to improving healthcare delivery and outcomes for those in need.

Benefits

Health Insurance

401K

Stock Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• Master's degree in Behavioral Health, Social Work, or Nursing required.
• 2-4 years of related experience in care management.

Responsibilities

• Evaluate member needs and develop care plans.
• Coordinate services and monitor member outcomes.
• Educate members on treatment options and healthcare benefits.

Skills

Care Management

Behavioral Health Knowledge

Communication Skills

Coordination Skills

Education

Master's in Behavioral Health

Master's in Social Work

Master's in Nursing

Job description

Pediatric Care Manager - Behavioral Health

Join to apply for the Pediatric Care Manager - Behavioral Health role at Sunshine Health.

Position Purpose: Develops, assesses, and facilitates complex care management activities for members with mental and behavioral health needs to ensure high-quality, cost-effective healthcare outcomes. Responsibilities include creating personalized care plans, providing education to members and families, and coordinating care involving behavioral health and social determinants.

This is a Remote/field-based position; candidates must reside in Lee County for face-to-face visits.

Responsibilities:

1. Evaluate member needs via phone or in-home visits, and develop appropriate care or service plans.
2. Conduct outreach through telephonic, digital, or home visits to assess needs and collaborate with resources.
3. Create ongoing care plans for high-acuity members, identifying providers and community resources.
4. Coordinate services between members, families, community resources, and care teams.
5. Monitor care plans and member outcomes, adjusting as needed based on clinical changes.
6. Facilitate timely access to care by collaborating with providers and specialists.
7. Maintain accurate documentation of all care management activities in compliance with regulations.
8. Educate members and families on procedures, treatment options, and healthcare benefits.
9. Provide feedback to leadership for continuous improvement of care delivery.
10. Perform other duties as assigned, adhering to all policies and standards.

Qualifications:

• Master's degree in Behavioral Health, Social Work, or Nursing from an accredited institution.
• 2-4 years of related experience.
• Licensed Behavioral Health Professional or RN, with specific licenses such as LCSW, LMSW, LMFT, LMHC, LPC, or RN with behavioral health experience, depending on state requirements.

Pay range: $55,100 - $99,000 annually. Benefits include health insurance, 401K, stock plans, tuition reimbursement, paid time off, and flexible work arrangements.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.