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Senior LTSS Service Care Manager
Centene Corporation. Assess and coordinate medical and supporting services across the continuum of care 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 focus on developing personalized care plans and collaborating with healthcare providers. Proficient in monitoring member status and advocating for members and families to ensure optimal care outcomes.
Highest-signal resume keywords
Registered Nurse (RN) LicensureCare CoordinationCase ManagementResource Utilization Group (RUG) CertificationHome Health 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
Care Plan DevelopmentClinical AssessmentData Review and DocumentationMember AdvocacyCommunity Resource Coordination
Soft Skills
CollaborationCommunicationEducation and Training
Certifications & Qualifications
Registered Nurse (RN) LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Long-Term CareManaged CareHome HealthHospiceCare Management
About the role
Key responsibilities & impact- Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations
- Develop personalized care plans/service plans for long-term care members
- Evaluate service needs and recommend plans for optimal outcomes
- Continuously assess care plans and collaborate with care management teams to identify providers, specialists, and community resources
- Coordinate between members, families/caregivers, and care provider teams
- Monitor member status, complications, clinical symptoms, care-plan progress, and changes in condition
- Review member data, referrals, and intake assessments to improve quality and develop appropriate care plans
- Collaborate with healthcare providers to facilitate services and treatments
- Collect, document, and maintain member information and care management activities
- Educate members and families/caregivers on disease processes, care gaps, care options, referrals, and healthcare benefits
- Act as liaison and member advocate between members/families, physicians, and facilities/agencies
- Coordinate community resources and service authorizations
- Conduct home and other site visits, including member assessments
- Partner with leadership to improve quality of care and cost-effective service delivery
- May precept and coach clinical new hires and support onboarding and competency readiness
- Travel for member visits and perform other assigned duties while complying with policies and standards
Requirements
What you’ll need- Graduate from an Accredited School of Nursing
- 4–6 years of related experience
- RN — Registered Nurse — State Licensure and/or Compact State Licensure required, or NP — Nurse Practitioner — Current State's Nurse Licensure required
- Resource Utilization Group (RUG) certification must be obtained within 90 days of hire for Superior
- Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred
- Travel is required for member visits
- Monday–Friday, 8:00 AM–5:00 PM CST availability
- Bachelors of Nursing degree is preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to remote, hybrid, field, or office work schedules
- Mileage reimbursement for member assessment visits
- Additional forms of incentives may be included in total compensation
- Diversity and equal opportunity commitment