Care Manager

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Develop, assess, and facilitate complex care management activities for primarily mental and behavioral health needs members • Provide personalized care plans and education for members and their families related to mental health and substance use disorder • Evaluate member needs via phone or in-home visits and recommend or facilitate care plans/service plans • Perform telephonic, digital, home, and/or other site-visit outreach to assess member needs and collaborate with resources • Develop ongoing care plans for high-acuity members and identify providers, specialists, and community resources • Coordinate among members, families/caregivers, community resources, and care provider teams to ensure services are accessible • Monitor care plans, member status, treatment side effects, complications, and clinical symptoms, and recommend updates • Facilitate care coordination with providers and specialists to ensure timely access to care and services • Collect, document, and maintain member information and care management activities for regulatory compliance • Educate members and families on procedures, provider instructions, treatment options, referrals, and healthcare benefits • Provide leadership feedback on opportunities to improve care and quality delivery cost-effectively • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• Applicants must reside in Florida • Active Florida mental health/behavioral health licensure or RN with behavioral health experience • Master’s degree in Behavioral Health or Social Work, or degree from an accredited school of nursing • 2–4 years of related experience • Licensed Master’s Behavioral Health Professional, such as LCSW, LMSW, LMFT, LMHC, or LPC, or RN according to state contract requirements • Behavioral health experience required • Availability Monday–Friday, 8am–5pm Eastern Time

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives