What are the responsibilities and job description for the MSW / LPN Pediatric - Program Specialist II - Social Work -- Remote Available position at Sunshine State Health Plan?
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Conduct screening and risk assessment interventions per program guidelines. Act as primary liaison for members and staff. Assist with aspects of the member’s care, including referrals to community resources.
- Identify special needs members through the completion of health screens and other resources
- Work with community outreach/member advocates to coordinate member care
- Educate providers and community resources on program components and available support services
- Educate members with special needs to foster compliance with program and positively impact outcomes
- Conduct site visits as appropriate for programs and provide support to other special programs
- Develop and modify care plans in conjunction with member, member’s family and managing physician
- Development of plan specific literature and education materials in conjunction with medical director and corporate oversight
Additional Details:
*Department: Children's Medical Services
*Caseload: Pediatrics - Newborn to 21-year olds
*Territory: Northern Miami-Dade County (Hialeah, Miami Lakes, FL area). Work-from-home case management role with indefinitely suspended home visits due to COVID-19. Field/Local travel typically within county. Caseload based on residence. Travel will be 70% (Once we return again to member home visits). Must reside in or be willing to relocate to the above mentioned area of Florida.
Our Comprehensive Benefits Package:
- Flexible work solutions including remote options, hybrid work schedules and dress flexibility
- Competitive pay
- Paid Time Off including paid holidays
- Health insurance coverage for you and dependents
- 401(k) and stock purchase plans
- Tuition reimbursement and best-in-class training and development
Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or equivalent experience. Master’s degree in Social Work preferred. 4 years of community experience in directly managing and integrating the social/community needs of the members. Experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic and complex conditions.
Valid driver’s license, except not required for Indiana. RN (Registered Nurse), LCSW (Licensed Certified Social Worker), LPN (Licensed Practical Nurse), or preferred.
For Sunshine Health (FL): Employees supporting Florida's Children’s Medical Services (CMS) must be a Florida licensed registered nurse with a minimum of two years of pediatric experience, Florida licensed practical nurse with a minimum of four years of pediatric experience, or a Master’s degree in social work with a minimum of one year of related professional pediatric care experience.
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.