Pediatric Care Manager, Social Work

Centene • Pompano Beach, FL

447d • $54,000 - $97,100 • Remote

About The Position

The Pediatric Care Manager in Social Work at Centene is responsible for developing, assessing, and facilitating complex care management activities primarily focused on mental and behavioral health needs for members. This role aims to provide high-quality, cost-effective healthcare outcomes through personalized care plans and education for members and their families. The position requires local travel for member visits and is designed for candidates residing in specific counties in Florida.

Requirements

• Master's degree in Behavioral Health or Social Work.
• 2 - 4 years of related experience in pediatric care management.
• Licensed Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) as per state contract requirements.

Nice To Haves

• Bilingual candidates preferred.
• Experience in pediatric care management.

Responsibilities

• Develop and facilitate complex care management activities for members with mental and behavioral health needs.
• Evaluate member needs via phone or in-home visits and recommend care/service plans.
• Perform outreach through telephonic, digital, and home visits to assess member needs.
• Develop ongoing care plans for members with high acuity and identify necessary providers and community resources.
• Coordinate between members, families, community resources, and care provider teams to ensure service accessibility.
• Monitor care plans and member status for changes in treatment and provide recommendations based on identified needs.
• Facilitate care coordination with providers or specialists for timely access to services.
• Document and maintain member information and care management activities for compliance with regulations.
• Educate members and families on healthcare procedures, treatment options, and benefits.
• Provide feedback to leadership on opportunities to improve care delivery.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work schedules (remote, hybrid, field, or office)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: Master's degree