FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
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 clinical nursing and care coordination, with a focus on developing personalized care plans and collaborating with healthcare teams to enhance service delivery and member outcomes. Proficient in clinical documentation and compliance with healthcare guidelines.
Highest-signal resume keywords
RN State LicensureClinical Nursing ExperienceCare CoordinationResource Utilization Group CertificationClinical Documentation
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 NursingCare CoordinationPersonalized Care PlansClinical DocumentationProblem-SolvingAttention to DetailTime ManagementHome VisitsService AuthorizationsMember Advocacy
Soft Skills
CommunicationOrganizationFlexibilityProfessionalism
Certifications & Qualifications
RN State LicensureResource Utilization Group Certification
Industry Keywords
High-Acuity PopulationsLong-Term CareAssisted LivingHome HealthHospiceSkilled Nursing FacilitiesCare ManagementMember EducationCommunity ResourcesQuality Improvement
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
- Evaluate complex or high-risk members’ service needs and recommend outcomes-focused plans
- Continuously assess care plans and collaborate with care management teams, providers, specialists, and community resources
- Coordinate between members, families/caregivers, and care provider teams to ensure appropriate person-centered care
- Monitor member status, changes in condition, complications, clinical symptoms, progress, and higher-level-care or waiver eligibility needs
- Review member data, referrals, and intake assessments to improve care quality and operating performance
- Collaborate with healthcare providers to facilitate services and treatments and revise care plans
- Collect, document, and maintain member information and care management activities in compliance with applicable guidelines
- 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, facilities, and 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, to assess needs and collaborate with resources
- Partner with leadership to improve quality, service delivery, and cost effectiveness
- May precept and coach clinical new hires, support onboarding, complete competency checkpoints, and monitor readiness
- Perform other assigned duties 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 experience
- RN State Licensure and/or Compact State Licensure, or current state nurse licensure as an NP
- Resource Utilization Group (RUG) certification for Superior, obtained within 90 days of hire
- 7+ years of clinical RN Case Management or Care Coordination experience with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, or Skilled Nursing facilities preferred
- Strong clinical documentation, problem-solving, communication, attention to detail, organization, and time-management skills
- Ability to work under quick TAT times and deadlines
- Ability to adapt to changing business needs with openness, flexibility, and professionalism
- Ability to conduct required home and/or other site visits
- Monday–Friday availability, 8:00 AM–5:00 PM CST
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible work arrangements, including remote, hybrid, field, or office work schedules
- Mileage reimbursement for member visits
- Equal opportunity and diversity commitment