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LTSS Service Care Manager
Centene CorporationLTSS Service Care Manager coordinating assessments, care plans, resources, and benefits for Centene’s long-term care health-plan members. Supporting members and caregivers across Pinellas County through provider collaboration and community-based care management.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management, including developing personalized service care plans and assessing member needs within long-term care. Proficient in collaborating with caregivers and healthcare providers to ensure effective service delivery and compliance with regulatory standards.
Highest-signal resume keywords
Case Management ExperienceAssessment SkillsKnowledge of DHSS ProgramsInterpersonal SkillsCultural Competency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Care Plan DevelopmentCaseload ManagementEligibility DeterminationProblem SolvingCommunity Resource Identification
Soft Skills
Excellent CommunicationCustomer Service SkillsCollaboration
Tools & Technologies
Field-Based Technology
Industry Keywords
Long-Term CareHealthcare Provider InteractionRegulatory ComplianceDiversity AwarenessService Delivery System
About the role
Key responsibilities & impact- Develop, assess, and coordinate holistic care management activities for long-term care members
- Develop or assist with personalized service care plans and educate members and caregivers on available services and benefits
- Evaluate member needs and available resources, and recommend or facilitate appropriate care plans
- Identify providers, specialists, and community resources needed for long-term care
- Coordinate between members, caregivers, and care provider teams to ensure services are accessible
- Provide resource support involving employment, housing, participant direction, independent living, justice, foster care, and related needs
- Monitor care plans, member status, and outcomes, and recommend updates based on identified needs
- Interact with long-term care healthcare providers and partners
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Perform home and/or other site visits to assess member needs and collaborate with providers and partners
- Facilitate education on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
- Provide leadership feedback on opportunities to improve quality of care and cost-effective service delivery
- Perform other duties as assigned and comply with policies and standards
Requirements
What you’ll need- Must reside in Pinellas County, Florida
- Bachelor's degree and 2–4 years of related experience; or bachelor's degree in health, human, social work, or education services with at least one year of qualifying experience
- Alternatively, high school degree or equivalent and three years of qualifying experience in case management of aged, behavioral health, physical or developmental disabilities, or HIV/AIDS populations
- Experience interviewing and assessing member needs
- Knowledge and experience with caseload management and casework practices
- Knowledge of determining eligibility for DHSS programs
- Knowledge of federal and state law applicable to DHSS programs
- Ability to solve problems and locate community resources
- Ability to collaborate with caregivers, state agency representatives, and providers
- Good interpersonal skills
- Ability to practice cultural competency with awareness and respect for diversity
- Knowledge of the needs and service delivery system for populations in the assigned caseload
- Field-based technological savvy
- Excellent communication and customer service skills
- Assessment skills
- Case management experience
- Equivalent experience may substitute where it reflects the required knowledge, duties, scope, and skills
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation