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Senior LTSS Service Care Manager, RN
Centene Corporation. Perform care management duties to 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 management, including the development and evaluation of personalized care plans for complex populations. Proficient in coordinating services, collaborating with healthcare providers, and ensuring compliance with clinical guidelines.
Highest-signal resume keywords
Registered Nurse LicensureCare Coordination ExperienceCase Management SkillsResource Utilization Group 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 ManagementPersonalized Care PlansClinical AssessmentData ReviewService Coordination
Soft Skills
CommunicationCollaborationAdvocacyEducation
Certifications & Qualifications
Registered Nurse LicensureResource Utilization Group Certification
Industry Keywords
Long-Term CareManaged CareHome HealthHospiceClinical Guidelines
About the role
Key responsibilities & impact- Perform care management duties to 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 to ensure appropriate person-centered care
- Monitor member status, complications, clinical symptoms, changes in condition, and progress toward care goals
- Review member data, referrals, and intake assessments to develop and improve care plans 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 state, federal, and clinical 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, and facilities/agencies
- Coordinate service authorizations for services such as meals, employment, housing, foster care, transportation, and activities of daily living
- Perform home and other site visits, potentially once a month or more, to assess member needs and collaborate with resources
- Partner with leadership to improve quality of care and cost-effective service delivery
- May precept and coach clinical new hires, support onboarding, complete competency checkpoints, and assess readiness
- Perform other duties as assigned and comply with policies and standards
- Travel to member homes for visits
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 — Registered Nurse — State Licensure and/or Compact State Licensure required, or NP — Nurse Practitioner — Current State's Nurse Licensure
- For Superior Health Plan: Required 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 home visits
- Schedule: Monday–Friday, 8:00 AM–5:00 PM CST
- Bachelor of Nursing degree is preferred
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Mileage reimbursement for member assessment visits