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.
This is a remote/work-from-home opportunity with local travel required for member visits.
Candidates should reside in Miami, Florida to be considered for this role.
Two years of pediatric experience is required.
Position Purpose:
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
Identifies problems/barriers to care and provide appropriate care management interventions
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
Other duties or responsibilities as assigned by people leader to meet business needs
Performs other duties as assigned
Complies with all policies and standards
Education/Experience:
Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 - 4 years of related experience.
License/Certification:
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
For Sunshine Health (FL) Only:
Employees supporting Florida's Children's Medical Services (CMS) must have a minimum of two years of pediatric experience.
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 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
US - FL - FL - St. Petersburg
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Green Cove Springs
October 30, 2024
Focus Staff is seeking a travel Occupational Therapist for a travel job in Green Cove Springs, Florida. & Requirements • Specialty: Occupational Therapist • Discipline: Therapy • Start Date: 12/23/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Focus...
US - FL - FL - St. Petersburg
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Orlando
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Tampa
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Cape Coral
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Port St. Lucie
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Crestview
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Crestview
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Miami
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Crestview
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Crestview
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Panama City
October 31, 2024
American Medical Staffing is seeking a travel Radiology Technician for a travel job in Panama City, Florida. & Requirements • Specialty: • Radiology Technician • Discipline: • Allied Health Professional • Start Date: • ASAP • Duration: • 13 weeks • 36 hours per week • Shift: • 12 hours, nights •...
US - FL - FL - Tallahassee
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Tallahassee
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - St. Petersburg
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Port St. Lucie
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Crestview
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Miami
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Tampa
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Orlando
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Hialeah
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
MedPro Healthcare Allied Staffing
US - FL - FL - Pembroke Pines
October 31, 2024
MedPro Healthcare Allied Staffing is seeking a travel Mammography Technologist for a travel job in Pembroke Pines, Florida. & Requirements • Specialty: Mammography Technologist • Discipline: Allied Health Professional • Start Date: 11/11/2024 • Duration: 13 weeks • 40 hours per week • Shift: 10...
US - FL - FL - Ocala
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Fort Lauderdale
October 31, 2024
Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Jacksonville
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...
US - FL - FL - Ocala
October 31, 2024
Remote Licensed Professional Counselor (LPC) Wage: Between $95-$122 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...