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Job Description
Join Sunshine State Health Plan as a Case Manager, where you will assess and coordinate holistic care for our members, ensuring quality and cost-effective healthcare outcomes. This role involves collaborating with healthcare providers and educating members and families on available services.
Key Responsibilities
Assess, plan, implement, and coordinate holistic care management activities.
Develop personalized care/service plans for long-term care members.
Educate members and their families/caregivers on available services and benefits.
Monitor and adjust care plans based on member needs.
Identify problems/barriers in long-term care management.
Provide resource support for various member needs.
Collaborate with healthcare providers to facilitate member care.
Perform home visits to assess member needs.
Maintain compliance with state and federal regulations.
Required Qualifications
Bachelor's degree
4 – 6 years of related experience
Licensed Practical Nurse
2 years of Pediatric experience
Benefits & Perks
Competitive payHealth insurance401KStock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules