LTSS Service Care Manager

LTSS Service Care Manager – Sunshine Health

Join to apply for the LTSS Service Care Manager role at Sunshine Health.

• FL Residency Required
• Must live in Citrus County, FL (Inverness, Crystal River, Homosassa, Citrus Hills, Lecanto)
• Hybrid role – 75% travel within county
• Bilingual Preferred
• Drivers License, Personal Vehicle, Active Car Insurance – Required

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost‑effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long‑term care members and educate members and their families/caregivers on services and benefits available to meet member needs.

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long‑term care plans/service plans and works to identify providers, specialists, and/or community resources needed for long‑term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long‑term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long‑term care member information and care management activities to ensure compliance with current state, federal, and third‑party payer regulators
• May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners
• Provides and/or facilitates education to long‑term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long‑term care members in a cost‑effective manner
• Performs other duties as assigned
• Complies with all policies and standards

Requires a Bachelor's degree and 2–4 years of related experience, or equivalent experience through applicable knowledge, duties, scope and skill reflective of this position.

None required beyond state driver’s licensing.

Pay Range: $26.50 – $47.59 per hour. Total compensation may include additional incentives. Pay will be adjusted based on skills, experience, education, and other job‑related factors.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work, allowing remote, hybrid, field, or office work schedules.

Centene is an equal‑opportunity employer committed to diversity and values candidates who bring different perspectives. 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 characteristics protected by law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.