Job Details

LCSW LMHC - Bilingual Pediatric Case Manager

Company name
Centene Corporation

Hialeah, FL, United States

Employment Type

Healthcare, Bilingual, Case Management, Manager

Posted on
Apr 04, 2021

Valid Through
Jul 18, 2021

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LCSW, LMHC - Bilingual Pediatric Case Manager ','1221126','!*!Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Develop, assess and adjust, as necessary, the care plan and promote desired outcome

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients

Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs

Provide patient and provider education

Facilitate member access to community based services

Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan

Actively participate in integrated team care management rounds

Identify related risk management quality concerns and report these scenarios to the appropriate resources

Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

','!*!Education/Experience: Bachelor’s degree in Social Work. 2 years of social work experience in an acute care or community setting. Knowledge of government sponsored managed care programs preferred.

Licenses/Certifications: Current state’s LCSW / LMHC license.

For Sunshine Health (FL): Employees supporting Florida's Children’s Medical Services (CMS) must have one of the above professional licenses and Hold a Master’s degree in social work and have one year of related professional pediatric care experience.


*Caseload: Pediatrics (newborn to 21)

*Location - Norther Miami-Dade County, FL // Hialeah area. (Must reside in or near the listed counties.)

*Work-from-home management role with indefinitely suspended supervisory visits due to COVID-19.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law.

','Clinical & Nursing','USA-Florida-Hialeah','USA-Florida-Miami Gardens, USA-Florida-Miami Lakes, USA-Florida-North Miami','Sunshine State Health Plan','Full-time','','false','LCSW, LMHC - Bilingual Pediatric Case Manager

Company info

Centene Corporation
Website :

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