LTSS Service Care Manager

LTSS Service Care Manager – Sunshine Health

Join to apply for the LTSS Service Care Manager role at Sunshine Health
.

As a diversified, national organization, you’ll have access to competitive benefits and a fresh perspective on workplace flexibility.

• FL Residency Required
• Must live in Citrus County, FL (Inverness, Crystal River, Homosassa, Citrus Hills, Lecanto)
• Hybrid role – 75% travel within county
• Bilingual preferred
• Drivers License, Personal Vehicle, Active Car Insurance – Required

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 for long‑term care members and educate members and their families/caregivers on available services and benefits.

• Evaluates member needs, available resources, and recommends or facilitates the best outcome plan.
• Assists with developing ongoing long‑term care plans and identifies required providers, specialists, and community resources.
• Coordinates between members/families and the care provider team to ensure services are accessible.
• Provides resource support to members and families for various needs (e.g., employment, housing, participant direction, independent living, justice, foster care).
• Monitors care plans, member status, and outcomes, and provides recommendations based on identified needs.
• Interacts with long‑term care healthcare providers and partners to ensure member needs are met.
• Collects, documents, and maintains member information and care activities to ensure compliance with state, federal, and payer regulations.
• May perform home and/or other site visits to assess needs and collaborate with providers.
• Provides and facilitates education on procedures, provider instructions, service options, referrals, and benefits.
• Provides feedback to leadership on opportunities to improve quality of care and service delivery.
• Performs other duties as assigned.
• Complies with all policies and standards.

Requires a Bachelor's degree and 2–4 years of related experience or equivalent experience through accomplishments of applicable knowledge, duties, scope, and skill reflective of this level.

Not specified.

$26.50–$47.59 per hour.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office schedules. Total compensation may include additional incentives and is subject to program eligibility.

Centene is an equal opportunity employer committed to diversity and values our differences. 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 any other protected characteristic. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Not Applicable

Full‑time

Health Care Provider

Hospitals and Health Care and Insurance