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LTSS Service Care Manager
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RemoteWorker US . Get AI-powered advice on this job and more exclusive features. 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. Location:
Position is hybrid and will include field visits. Candidate must live in/around Volusia County, Florida, with a primary focus on the Deltona, Deland, Orange City, De Leon Springs, and DeBary areas. 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. 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, specialists, 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 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 equivalent experience reflecting the duties and scope of this position. Location:
Position is hybrid, including field visits. Candidate must reside in/around Volusia County, FL, focusing on Deltona, Deland, Orange City, De Leon Springs, and DeBary. Pay Range:
$26.50 - $47.59 per hour. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work options (remote, hybrid, field, or office). Actual pay depends on skills, experience, education, and other factors. Total compensation may include incentives. Benefits are subject to eligibility. Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Applicants with arrest or conviction records will be considered per applicable laws. Additional Information:
Sign-up bonus available! Join today! Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Staffing and Recruiting Referrals can double your chances of interviewing at RemoteWorker US.
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LTSS Service Care Manager
role at
RemoteWorker US . Get AI-powered advice on this job and more exclusive features. 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. Location:
Position is hybrid and will include field visits. Candidate must live in/around Volusia County, Florida, with a primary focus on the Deltona, Deland, Orange City, De Leon Springs, and DeBary areas. 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. 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, specialists, 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 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 equivalent experience reflecting the duties and scope of this position. Location:
Position is hybrid, including field visits. Candidate must reside in/around Volusia County, FL, focusing on Deltona, Deland, Orange City, De Leon Springs, and DeBary. Pay Range:
$26.50 - $47.59 per hour. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work options (remote, hybrid, field, or office). Actual pay depends on skills, experience, education, and other factors. Total compensation may include incentives. Benefits are subject to eligibility. Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Applicants with arrest or conviction records will be considered per applicable laws. Additional Information:
Sign-up bonus available! Join today! Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Staffing and Recruiting Referrals can double your chances of interviewing at RemoteWorker US.
#J-18808-Ljbffr