Senior Manager, Retail Search
Mars United Commerce
LTSS Care Manager
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Del Rio • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $27 - $48 per hour
Job Level
JuniorMid-Level
About the role
- Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
- Develops or assists with developing personalized service care plans/service plans for long-term care members
- Educates members and their families/caregivers on services and benefits available to meet member needs
- Evaluates member needs, available resources, and recommends/facilitates plans for best outcomes
- Identifies providers, specialists, and community resources needed for long-term care
- Coordinates between member/family/caregivers and the care provider team to ensure services are accessible
- Provides resource support for needs such as employment, housing, participant direction, independent living, justice, foster care
- Monitors care plans, member status and outcomes and provides recommendations as appropriate
- Interacts with long-term care healthcare providers and partners to ensure member needs are met
- Collects, documents, and maintains long-term care member information and care management activities for regulatory compliance
- May perform home and/or other site visits to assess member’s needs and collaborate with providers and partners
- Provides and/or facilitates education to members and families/caregivers on procedures, provider instructions, service options, referrals, and benefits
- Provides feedback to leadership on opportunities to improve quality of care and service delivery
- Performs other duties as assigned and complies with all policies and standards
Requirements
- Requires a Bachelor's degree
- 2 – 4 years of related experience (or equivalent experience)
- LVN or LCSW / LCSW-A preferred
- Candidate must live in/around Del Rio, TX
- Ability to perform home and/or other site visits
- Experience developing personalized service care plans/service plans for long-term care members
- Knowledge of state, federal, and third-party payer regulations and documentation
- Ability to coordinate between members, families/caregivers, and provider teams
Benefits
- competitive pay
- 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
- total compensation may include additional forms of incentives
- benefits may be subject to program eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care managementservice plansregulatory compliancepersonalized service care plansdocumentationneeds assessmentresource coordinationmonitoring care planseducation facilitation
Soft skills
communicationinterpersonal skillsorganizational skillscollaborationproblem-solving
Certifications
Bachelor's degreeLVNLCSWLCSW-A
