Remotery

LTSS Service Care Manager

atCentene CorporationRemoteUS flagFloridaFull-timeManagerJunior$27 – $48/hour

Posted 2 days ago

This is a fully remote position, open to applicants in Florida.

📋 Description

• Develop, evaluate, and orchestrate comprehensive care management activities for members in long-term care.

• Create or assist in the formulation of personalized service care plans, educating members and their caregivers about available services and benefits.

• Assess member needs alongside available resources, recommending or facilitating suitable care plans.

• Identify necessary providers, specialists, and community resources for long-term care.

• Coordinate communication between members, caregivers, and care provider teams to ensure services are readily accessible.

• Provide resource support related to employment, housing, participant direction, independent living, justice, foster care, and similar needs.

• Monitor care plans, member status, and outcomes, suggesting updates based on recognized needs.

• Engage with healthcare providers and partners involved in long-term care.

• Collect, document, and maintain member information and care management activities to ensure regulatory compliance.

• Conduct home and/or other site visits to evaluate member needs and collaborate with providers and partners.

• Facilitate educational sessions on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits.

• Provide leadership insights on opportunities to enhance quality of care and cost-effective service delivery.

• Carry out additional duties as assigned while adhering to policies and standards.


⛳️ Requirements

• Must reside in Pinellas County, Florida.

• Bachelor's degree with 2–4 years of relevant experience; or a bachelor's degree in health, human services, social work, or education services with a minimum of one year of qualifying experience.

• Alternatively, a high school diploma or equivalent with three years of qualifying experience in case management for aged, behavioral health, physical or developmental disabilities, or HIV/AIDS populations.

• Experience in interviewing and assessing member needs.

• Proficiency in caseload management and casework practices.

• Knowledge of eligibility determination for DHSS programs.

• Familiarity with federal and state laws applicable to DHSS programs.

• Strong problem-solving abilities and skill in locating community resources.

• Capacity to collaborate effectively with caregivers, state agency representatives, and providers.

• Strong interpersonal skills.

• Ability to practice cultural competency with an awareness and respect for diversity.

• Understanding of the needs and service delivery system for populations within the assigned caseload.

• Technological proficiency in field-based environments.

• Exceptional communication and customer service skills.

• Strong assessment skills.

• Prior case management experience.

• Equivalent experience may be considered if it demonstrates the required knowledge, duties, scope, and skills.


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off in addition to holidays.

• Flexible work options including remote, hybrid, field, or office schedules.

• Additional incentive programs may be included in the overall compensation package.

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