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, RN
Centene Corporation. Performs care management duties to 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 management, including the development of personalized care plans and coordination of services for high-acuity populations. Proficient in collaborating with healthcare providers and educating members and families on care options and disease processes.
Highest-signal resume keywords
Registered Nurse (RN) LicensureCare CoordinationCase ManagementResource Utilization Group (RUG) CertificationExperience with Adult Members in Home Health
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 ManagementPersonalized Care PlansService CoordinationClinical AssessmentData Review and Documentation
Soft Skills
CommunicationAdvocacyCollaborationEducationCoaching
Certifications & Qualifications
Registered Nurse (RN) LicensureResource Utilization Group (RUG) Certification
Industry Keywords
Home HealthHospiceLong-Term CareManaged CareCare Quality Improvement
About the role
Key responsibilities & impact- Performs care management duties to assess and coordinate medical and supporting services for complex/high-acuity populations
- Develops personalized care plans/service plans for long-term care members
- Evaluates service needs and recommends plans for the best outcomes
- Identifies providers, specialists, and community resources
- Coordinates care between members, families/caregivers, and care provider teams
- Monitors care plans, member status, complications, clinical symptoms, and progress toward goals
- Reviews member data, referrals, and intake assessments to improve care quality and develop appropriate plans
- Collaborates with healthcare providers to facilitate services and treatments
- Collects, documents, and maintains member information and care management activities
- Educates members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and benefits
- Acts as liaison and member advocate between members/families, physicians, and facilities/agencies
- Coordinates community resources and service authorizations
- Performs home and other site visits to assess member needs
- Partners with leadership to improve quality and cost-effective service delivery
- May precept and coach clinical new hires during onboarding
- Performs other duties as assigned and complies with policies and standards
Requirements
What you’ll need- Graduate from an Accredited School of Nursing or a Bachelor's degree and 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
- 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 preferred
- Travel is required for member visits
- Monday–Friday, 8:00 AM–5:00 PM CST schedule
- Bachelor's degree in Nursing preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plan
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to remote, hybrid, field, or office work schedules
- Mileage reimbursement for travel when conducting member assessment visits
- Additional forms of incentives may be included in total compensation