LTSS Service Care Manager

Position Overview

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. We are hiring a LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports (LTSS) team. This hybrid role covers the St. Johns County area (zip code: 32145 [Hastings] or 32080, 32095, 32084, 32086, 32033) and is 75% field-based with the opportunity to work remotely when not visiting members. Standard work hours are Monday – Friday, 8:00 AM – 5:00 PM (local time).

Key Responsibilities

• Provide case management support for members in their homes or facilities.
• Collaborate with healthcare providers, social service agencies, and community resources.
• Ensure members receive high-quality, person-centered care.
• Develop, assess, and coordinate holistic care management and personalized service care plans.
• Evaluate member needs and coordinate between members, families/caregivers, and the care provider team to facilitate access to services.
• Monitor care plans, member status, and outcomes, providing recommendations as needed.
• Collect, document, and maintain member information to ensure compliance with state, federal, and third-party regulations.
• Perform home and other site visits as required and educate members and families on procedures, service options, referrals, and healthcare benefits.
• Provide feedback to leadership on opportunities to improve care quality and service delivery.
• Comply with all policies and standards.

Required Qualifications

• Bachelor's degree required and 2–4 years of related experience, or equivalent experience through demonstrated accomplishments.

Preferred Qualifications

• Background in case management, healthcare, or social/community services.
• Strong ability to build relationships and support members in the community.
• Commitment to improving health outcomes and quality of life.

Benefits & Perks

• Pay Range: $26.50 - $47.59 per hour
• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A flexible approach to work with remote, hybrid, field, or office work schedules