Centene Corporation

Senior LTSS Service Care Manager

Centene Corporation
Posted 9/17/2026full-timeWeslaco • Texas • United StatesSenior💰 $36 - $65 per hourWebsite
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Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in care management for complex populations, including assessment, development, and monitoring of long-term care plans. Proficient in coordinating with healthcare providers and community resources to optimize member outcomes and ensure compliance with standards.

Highest-signal resume keywords
Registered Nurse LicensureCare CoordinationCase ManagementResource Utilization Group CertificationHome Health Experience

About the role

Key responsibilities & impact
  • Perform care management duties for complex/high-acuity populations with primary medical/physical health needs
  • Assess service needs and recommend plans for optimal outcomes
  • Develop and continuously assess long-term care plans/service plans
  • Coordinate members, families/caregivers, providers, specialists, and community resources
  • Monitor care plans, member status, complications, clinical symptoms, and progress toward goals
  • Identify needs for higher levels of care and/or waiver eligibility
  • Review member data, referrals, and intake assessments to improve 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
  • Educate members and families/caregivers on disease processes, care gaps, care options, referrals, benefits, and provider instructions
  • Act as liaison and member advocate between members/families, physicians, and facilities/agencies
  • Coordinate community resources and service authorizations
  • Perform home and other site visits, potentially once a month or more
  • Partner with leadership to improve quality and cost-effective service delivery
  • May precept and coach clinical new hires and support onboarding and competency readiness
  • Comply with all policies and standards; perform other duties as assigned

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
  • For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire
  • 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
  • Ability to work Monday–Friday, 8:00 AM–5:00 PM CST

Benefits

Comp & perks
  • Mileage reimbursement for member assessment visits
  • 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
  • Total compensation may include additional forms of incentives

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Care ManagementLong-Term Care PlanningClinical AssessmentData ReviewCare Plan Monitoring
Soft Skills
CommunicationAdvocacyCollaborationEducationCoaching
Certifications & Qualifications
Registered Nurse LicensureResource Utilization Group Certification
Industry Keywords
Home HealthHospiceLong-Term CareManaged CareCare Gaps