LPN/Licensed Practical Nurse

Sunshine State Health Plan
US - Florida - Palm Beach Gardens
January 7, 2025

You could be the one who changes everything for our 28 million members.

Please read the following job description thoroughly to ensure you are the right fit for this role before applying.
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.

Candidate must reside in Florida and hold active FL licensure.
• 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 andor facilitates the care planservice plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home andor 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 andor familycaregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plansservice plans andor member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care planservice 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
• EducationExperience:* Requires a Masters degree in Behavioral Health or
Social Work or a Degree from an Accredited School of Nursing and 2 - 4 years
of related experience.
• LicenseCertification:* Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, LPC and RN with BH experience required

Pay Range: $54,000.00 - $97,100.00 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
individuals 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

Read the full job description and apply online on the recuiter's web-site

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