Case Manager (7/1/2025)
Company: Sunshine State Health Plan
Location: Ocala
Posted on: July 1, 2025
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Job Description:
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. Candidates must reside in Lake County
where member visits will be scheduled. 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, specialist,
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 to care plan/service plan 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 acquired through
accomplishments of applicable knowledge, duties, scope and skill
reflective of the level of this position. Pay Range: $26.50 -
$47.59 per hour 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
Keywords: Sunshine State Health Plan, Ocala , Case Manager (7/1/2025), Social Services , Ocala, Florida
