LTSS Service Care Manager
Orlando
Saturday, 25 April 2026
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. Travel is required for member visits. 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. Preferred Experience: Candidates with Social Worker or Case Manager experience and/or an educational background in Social Work, Psychology, Behavioral Science, or Masters level - Social Work is preferred . years of case management experience working directly with members with complex medical conditions and disabilities 2 years of experience coordinating and managing medical, DME, referral services, and providing patient advocacy and education to Medicaid members. Experience in FIELD-BASED case management or service coordinator roles in community health, managed care, or state health and human services settings. Service Delivery Zip Code Area: 32703, 32712, 32751, 32789, 32804, 32808, 32810, 32818 or 32835. - Travel is required for member visits in these FL zip codes. Pay Range: $27.02 - $48.55 per hour. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401 K 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.