Senior LTSS Service Care Manager, RN
Centene Corporation
Senior LTSS Service Care Manager, RN
Centene Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $35 - $64 per hour
Job Level
Senior
About the role
- Assess and coordinate medical and supporting services across the continuum of care for complex/high acuity populations
- Develop and continuously assess personalized long-term care/service plans and educate members and families/caregivers on services and benefits
- Evaluate service needs and recommend plans for best outcomes, including assessments for higher level of care and waiver eligibility
- Coordinate and manage communication between members/families/caregivers and care provider teams to ensure person-centered care
- Monitor member status, changes in condition, and progress toward care plan goals; revise plans as necessary
- Review member data, referrals, and intake assessments to develop appropriate care plans
- Collaborate with healthcare providers to facilitate services and treatments and determine revised care plans
- Collect, document, and maintain all member information and care management activities to ensure regulatory compliance
- Provide and facilitate education on disease processes, care options, referrals, and healthcare benefits
- Act as liaison and advocate between members/families, physicians, and facilities/agencies
- Coordinate community resources and service authorization for services (meals, employment, housing, foster care, transportation, ADLs)
- Perform home and facility site visits as required and travel to nursing facilities in Central Texas
- Partner with leadership to improve quality of care and service delivery and may precept and coach new clinical hires
Requirements
- Graduate from an Accredited School of Nursing or a Bachelor's degree
- 4–6 years of related experience
- Bachelor's degree in Nursing preferred
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
- Ability to travel to nursing facilities across Central Texas (Erath, Somervell, Bosque, Hamilton, Waco, Temple, Copperas Cove, Lampasas, Mexia, Freestone, Leon counties)
- Availability Monday - Friday: 8 am - 5 pm (CST); no evenings, no weekends, no On Call
- Ability to perform home and/or site visits as required
- Experience in care management for complex/high acuity populations preferred
- Experience precepting, coaching, and onboarding clinical new hires
