RemoteWorker US
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RemoteWorker US 42 minutes ago Be among the first 25 applicants Join to apply for the
Care 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, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
Qualified candidates must be based in Miami-Dade county and surrounding counties in the state of Florida. This position involves travel for fieldwork, including in-home visits.**
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 or a Degree from an Accredited School of Nursing 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 Childrens Medical Services must Hold a Masters 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. 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
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Staffing and Recruiting Referrals increase your chances of interviewing at RemoteWorker US by 2x Sign in to set job alerts for Care Manager roles.
Miramar, FL $86,300.00-$118,700.00 1 week ago Patient Access Center Manager - FT - Days - DIO
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Delray Beach, FL $55,100.00-$99,000.00 19 hours ago Hallandale Beach, FL $55,100.00-$99,000.00 19 hours ago Pembroke Pines, FL $55,100.00-$99,000.00 19 hours ago Plantation, FL $55,100.00-$99,000.00 19 hours ago Boynton Beach, FL $55,100.00-$99,000.00 19 hours ago Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Care Manager
role at
RemoteWorker US 42 minutes ago Be among the first 25 applicants Join to apply for the
Care 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, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
Qualified candidates must be based in Miami-Dade county and surrounding counties in the state of Florida. This position involves travel for fieldwork, including in-home visits.**
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 or a Degree from an Accredited School of Nursing 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 Childrens Medical Services must Hold a Masters 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. 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
Seniority level
Seniority level
Entry level Employment type
Employment type
Full-time Job function
Job function
Health Care Provider Industries
Staffing and Recruiting Referrals increase your chances of interviewing at RemoteWorker US by 2x Sign in to set job alerts for Care Manager roles.
Miramar, FL $86,300.00-$118,700.00 1 week ago Patient Access Center Manager - FT - Days - DIO
Home Care Administrator / Office Manager | Boca Raton - Palm Beach, FL
Boca Raton, FL $45,000.00-$52,000.00 1 month ago Restaurant Manager, Hotel Bar - The Diplomat Beach Resort, Curio by Hilton
Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Hollywood, FL $55,100.00-$99,000.00 19 hours ago Fort Lauderdale, FL $55,100.00-$99,000.00 19 hours ago Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Delray Beach, FL $55,100.00-$99,000.00 19 hours ago Deerfield Beach, FL $55,100.00-$99,000.00 19 hours ago Deerfield Beach, FL $55,100.00-$99,000.00 19 hours ago Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Fort Lauderdale, FL $55,100.00-$99,000.00 19 hours ago Fort Lauderdale, FL $55,100.00-$99,000.00 19 hours ago Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Plantation, FL $55,100.00-$99,000.00 19 hours ago Deerfield Beach, FL $55,100.00-$99,000.00 19 hours ago Boca Raton, FL $55,100.00-$99,000.00 19 hours ago Director of Clinical Operations Home Health
Delray Beach, FL $55,100.00-$99,000.00 19 hours ago Hallandale Beach, FL $55,100.00-$99,000.00 19 hours ago Pembroke Pines, FL $55,100.00-$99,000.00 19 hours ago Plantation, FL $55,100.00-$99,000.00 19 hours ago Boynton Beach, FL $55,100.00-$99,000.00 19 hours ago Pompano Beach, FL $55,100.00-$99,000.00 19 hours ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr