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LTSS Service Care Manager
Centene Corporation. Assist in developing, assessing, and coordinating holistic care management activities .
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 resource support for long-term care members. Proficient in evaluating member needs, collaborating with providers, and ensuring regulatory compliance.
Highest-signal resume keywords
Bachelor's DegreeCase ManagementCultural CompetencyRegulatory ComplianceCommunity Resource Identification
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 DevelopmentMember Needs AssessmentEligibility Determination for DHSS ProgramsCaseload ManagementQuality-of-Care Improvement
Soft Skills
Interpersonal SkillsProblem SolvingCollaboration
Industry Keywords
Long-Term CareHealthcare BenefitsService Delivery SystemDiversity AwarenessHome Visits
About the role
Key responsibilities & impact- Assist in developing, assessing, and coordinating holistic care management activities
- Develop or assist with personalized service care plans for long-term care members
- Educate members and families/caregivers on available services and benefits
- Evaluate member needs and available resources and facilitate plans for optimal outcomes
- Identify providers, specialists, and community resources for long-term care
- Coordinate between members, families/caregivers, and care provider teams
- Provide resource support for employment, housing, participant direction, independent living, justice, and foster care needs
- Monitor care plans, member status, and outcomes and recommend updates
- Interact with long-term care providers and partners
- Collect, document, and maintain member information and care management activities for regulatory compliance
- Conduct home and other site visits to assess needs and collaborate with providers and partners
- Provide education on procedures, provider instructions, service options, referrals, and healthcare benefits
- Provide leadership feedback on quality-of-care and service-delivery improvements
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree and 2–4 years of related experience
- For Iowa: Bachelor's degree and 2+ years of experience with populations served, or RN with 6+ years of experience with population served
- 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, involved 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
- Equivalent experience acquired through applicable knowledge, duties, scope and skill may be considered
- Must comply with all policies and standards
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- 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
- Equal opportunity employer committed to diversity