Integration Manager
Redox
Senior LTSS Service Care Manager, RN
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $35 - $64 per hour
Job Level
Senior
About the role
- Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations
- Develops a personalized care plan / service plan for long-term care members
- Evaluates the service needs of the most complex or high risk/high acuity members
- Develops and continuously assesses ongoing long-term care plans / service plans
- Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team
- Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals
- Monitors member status for complications and clinical symptoms or other status changes
- Reviews member data to identify trends and improve operating performance and quality care
- Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments
- Provides and/or facilitates education to long-term care members and their families/caregivers
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Provides coordination of service authorization to members and care managers for various services based on service assessment and plans
Requirements
- Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience
- Bachelor's degree in Nursing preferred
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required
Benefits
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementpersonalized care plan developmentservice plan evaluationmonitoring care plansdata analysistrend identificationclinical symptom assessmentservice authorization coordination
Soft skills
collaborationcommunicationadvocacyeducation facilitationinterpersonal skills
Certifications
Registered Nurse (RN) State LicensureNurse Practitioner (NP) State Licensure
