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Case Manager

Sunshine State Health Plan

Hialeah, FL
1 month ago
$55,100.00 - $99,000.00

This Job Position Has Expired

This job listing is no longer available for applications. The position may have been filled or the posting period has ended.

Job Description

Join Sunshine State Health Plan as a Case Manager, where you'll play a crucial role in transforming healthcare for our 28 million members. This position involves developing personalized care plans for members with mental and behavioral health needs, ensuring they receive high-quality, cost-effective healthcare.

Key Responsibilities

  • Evaluate member needs via phone or in-home visits
  • Develop ongoing care plans for members with high acuity
  • Coordinate care between members, families, and providers
  • Monitor and adjust care plans based on member status
  • Provide education to members and families regarding treatment options
  • Document care management activities for compliance

Required Qualifications

  • Master's degree in Behavioral Health or Social Work or Degree from an Accredited School of Nursing
  • 2 – 4 years of related experience
  • Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN

Preferred Qualifications

  • Experience in pediatric care
  • Knowledge of behavioral health and social determinant needs

Benefits & Perks

Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)