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Pediatric Care Manager – Social Worker
| Company | Centene |
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| Location | Pensacola, FL, USA |
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| Salary | $55100 – $99000 |
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| Type | Full-Time |
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| Degrees | Master’s |
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| Experience Level | Junior, Mid Level |
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Requirements
- Master’s degree in Behavioral Health or Social Work
- 2 – 4 years of related experience
- Licensed Master’s Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) based on state contract requirements
- 1 year (minimum) of pediatric experience required
Responsibilities
- Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members
- Evaluates the needs of the member via phone or in-home visits related to the resources available
- May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
- Develops ongoing care plans for members with high level acuity
- Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team
- Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms
- Facilitates care coordination and collaborates with appropriate providers or specialists
- Collects, documents, and maintains member information and care management activities
- Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
- For Sunshine Health (FL) Only: Employees supporting Florida’s Children’s Medical Services must Hold a Master’s degree in social work or related field and have one year of related professional pediatric care experience
