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LTSS Service Care Manager
Centene Corporation. Develops, assesses and coordinates holistic care management activities for quality, cost-effective healthcare outcomes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and coordinating holistic care management activities, including personalized service care plans and regulatory compliance. Proficient in assessing member needs, collaborating with caregivers and providers, and utilizing community resources to enhance healthcare outcomes.
Highest-signal resume keywords
Care ManagementCase ManagementRegulatory ComplianceCommunity Resource CoordinationBilingual Spanish Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Personalized Service Care PlansCaseload ManagementEligibility Determination for DHSS ProgramsBehavioral Health ManagementAssessment and Interviewing Skills
Soft Skills
Problem SolvingInterpersonal SkillsCultural CompetencyCollaboration
Industry Keywords
Long-Term CareHealthcare OutcomesFederal and State LawDiversity Awareness
About the role
Key responsibilities & impact- Develops, assesses and coordinates holistic care management activities for quality, cost-effective healthcare outcomes
- Develops or assists with developing personalized service care plans for long-term care members
- Educates members and families/caregivers on services and benefits
- Evaluates member needs and available resources and recommends or facilitates care plans
- Develops ongoing long-term care plans and identifies providers, specialists and community resources
- Coordinates members, caregivers and care provider teams to ensure services are accessible
- Provides resource support for employment, housing, participant direction, independent living, justice and foster care needs
- Monitors care plans, member status and outcomes and recommends updates
- Interacts with long-term care providers and partners
- Collects, documents and maintains member information and care management activities for regulatory compliance
- Performs home and other site visits as needed
- Provides education on procedures, provider instructions, service options, referrals and healthcare benefits
- Provides leadership feedback on quality-of-care and service-delivery improvements
- Performs other duties as assigned and complies with policies and standards
Requirements
What you’ll need- Must reside in Miami-Dade County, FL
- Bachelor's degree and 2–4 years of related experience
- Alternative: Bachelor's degree in health, human, social work or education services with one or more years of qualifying experience
- Alternative: High school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, persons with physical or developmental disabilities, or HIV/AIDS population
- Experience interviewing and assessing member needs
- Knowledge and experience regarding caseload management and casework practices
- Knowledge regarding determining eligibility for DHSS programs
- Knowledge of Federal and State law as it applies to DHSS programs
- Ability to effectively 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 all populations in the case manager’s caseload
- Bilingual Spanish skills preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation