Jobs for Humanity is partnering with Sunshine State Health Plan to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Sunshine State Health Plan

We Need You! Join Our Team and Make a Difference!

Are you ready to change lives? We are looking for caring and compassionate individuals to join our Medical Management/Health Services team. Whether you are a healthcare professional, social worker, or mental health professional, this could be the perfect opportunity for you. At Centene, we believe in workplace flexibility and offer competitive benefits.

About the Position:

As a clinical professional, your role will be to assess, plan, and coordinate all aspects of medical and supporting services for our members. Your goal will be to provide high-quality and cost-effective care for our members through comprehensive care management.

• Develop and adjust care plans to promote desired outcomes
• Assess current health status, treatment plans, and resource utilization
• Coordinate services between healthcare providers to meet members' needs
• Provide patient and provider education
• Facilitate access to community-based services
• Monitor referrals and support members' overall care management plan
• Collaborate with integrated team care management rounds
• Identify and report risk management concerns
• Maintain accurate and up-to-date clinical information

Requirements:

We value your education, experience, and commitment to making a difference. Here are the requirements for this position:

• Bachelor's degree in Social Work
• 2+ years of social work experience in acute care or community setting
• Knowledge of government-sponsored managed care programs is preferred
• Current state's LMSW or LCSW license

If you are applying for Sunshine Health in Florida, additional requirements include:

• Must have an RN, LCSW, LMSW, LMHC, or other Mental Health Professional license
• Minimum of two years of pediatric experience for Florida licensed registered nurses or a Master's degree in social work or related field with one year of related professional pediatric care experience
• Up to 80% local travel may be required

Additional Details:

• Licensure requirement: Master's degree in Social Work and LCSW, LMSW, LMHC
• Experience: 1 year (minimum) pediatric experience
• Location: Residency required in Miami-Dade County
• Travel: 80% local travel

Why Join Our Team?

At Centene, we offer a comprehensive benefits package to support our employees:

• Flexible work solutions, including remote options
• Competitive pay
• Paid time off, including holidays
• Health insurance coverage for you and your dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and training and development opportunities

Centene is an equal opportunity employer that values diversity and celebrates our differences. We embrace individuals from all backgrounds, including those with disabilities, LGBTQIA+ individuals, veterans, refugees, and the elderly. All qualified applicants will receive equal consideration for employment.