Vacancy expired!
You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Pediatric case management for members ages 0-21 years. Florida LCSW or LMHC needed. Hybrid-Remote work-from-home role with home visits in the Florida Treasure Coast (Indian River, St. Lucie, Okeechobee and Martin counties near Vero Beach, Port St Lucie, Okeechobee and Stuart, FL. Applicants must reside in the above mentioned Florida counties to be considered.Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systemsEducation/Experience: Bachelor’s degree in Social Work. 2+ years of social work experience in an acute care or community setting. Knowledge of government sponsored managed care programs preferred.Licenses/Certifications: For Sunshine Health (FL): An LCSW, LMHC is required.Employees supporting Florida's Children’s Medical Services (CMS) must have one of the above professional licenses and 1. Minimum of two years of pediatric experience for Florida licensed registered nurses, or 2. Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience. May require up to 80% local travel.Additional Details: Department: Children’s Medical Services Caseload: Pediatric members, ages 0-21 Territory: Florida Treasure Coast (Indian River, St. Lucie, Okeechobee and Martin counties near Vero Beach, Port St Lucie, Okeechobee and Stuart, FL. Work-from-home case management role with local in-home visits. Must reside in or be willing to relocate to the above mentioned area of Florida.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.TITLE: LCSW, LMHC - Pediatric Care ManagerLOCATION: West Palm Beach, FloridaREQNUMBER: 1356447
Vacancy expired!