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Senior LTSS Service Care Manager
Centene Corporation. Assess and coordinate medical and supporting services for complex/high-acuity populations .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination and case management for complex populations, with a strong focus on developing personalized care plans and collaborating with multidisciplinary teams. Holds RN licensure and RUG certification, ensuring compliance with healthcare standards and effective resource utilization.
Highest-signal resume keywords
RN State LicensureResource Utilization Group CertificationCare Coordination ExperienceBehavioral Health ExperienceLong-Term Care Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentCare Plan DevelopmentMember AdvocacyData Review and DocumentationHome Visit Coordination
Soft Skills
CommunicationCollaborationCoachingEducationProblem-Solving
Certifications & Qualifications
RUG Certification
Industry Keywords
Case ManagementNursing RehabilitationManaged CareHome HealthLong-Term Care
About the role
Key responsibilities & impact- Assess and coordinate medical and supporting services for complex/high-acuity populations
- Develop personalized long-term care and service plans
- Continuously assess care plans and member status
- Coordinate members, families/caregivers, providers, specialists, and community resources
- Monitor complications, clinical symptoms, changes in condition, and progress toward goals
- Review member data, referrals, and intake assessments
- Facilitate member services, treatments, referrals, and revised care plans
- Collect, document, and maintain member information and care management activities
- Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, benefits, and community resources
- Act as liaison and member advocate between members/families, physicians, and facilities/agencies
- Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
- Conduct home and other site visits, potentially once a month or more
- Partner with leadership to improve quality, service delivery, and cost effectiveness
- May precept, coach, and support clinical new hires during onboarding
- Measure and monitor preceptee readiness with People Leaders and cross-functional teams
- Perform other duties as assigned and comply with policies and standards
Requirements
What you’ll need- Graduate from an Accredited School of Nursing
- 4–6 years of related clinical nursing and/or case management and care coordination experience
- RN state licensure and/or compact state licensure required, or current state nurse licensure as a Nurse Practitioner
- Required Resource Utilization Group (RUG) certification for Superior Health Plan, obtained within 90 days of hire
- Bachelor of Nursing degree preferred
- Experience in RN care coordination or case management with adult members aged 21 or older
- Experience in Behavioral Health, Home Health, Long-Term Care, Managed Care, Nursing Rehabilitation, or SNF
- Travel for member visits required
- Availability Monday–Friday, 8:00 AM–5:00 PM CST
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible work approach with remote, hybrid, field, or office work schedules
- Mileage reimbursement for member assessment visits
- Potential additional incentives
- Equal opportunity and diversity commitment