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Centene Corporation

Senior LTSS Service Care Manager, RN

Centene Corporation

. Assess and coordinate medical and supporting services across the continuum of care for complex/high-acuity populations .

Posted 9/17/2026full-timeAbilene • Texas • United StatesSenior💰 $36 - $65 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in assessing and coordinating medical services for complex populations, developing personalized care plans, and collaborating with healthcare teams to ensure optimal outcomes. Proficient in in-home assessments and compliance with clinical guidelines.

Highest-signal resume keywords
Registered Nurse - State LicensureNurse Practitioner - Current State's Nurse LicensureUtilization Group (RUG) CertificationExperience in Long-Term Care PlansAssessment and Coordination of Medical Services

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Care Plan DevelopmentIn-Home AssessmentsClinical MonitoringData Review and DocumentationService Authorization Coordination
Soft Skills
CollaborationAdvocacyEducationCoachingCommunication
Certifications & Qualifications
Registered Nurse - State LicensureNurse Practitioner - Current State's Nurse LicensureUtilization Group (RUG) Certification
Industry Keywords
Complex PopulationsHigh-Acuity CareCommunity ResourcesHealthcare BenefitsClinical Guidelines

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
  • Collaborate with care management teams, healthcare providers, specialists, caregivers, and community resources
  • Monitor member status, care-plan progress, complications, clinical symptoms, and changes in condition
  • Review member data, referrals, and intake assessments to improve care quality and operating performance
  • Coordinate member services, treatments, service authorizations, and community resources
  • Collect, document, and maintain member information and care management activities
  • Educate members and families/caregivers on disease processes, care gaps, care options, referrals, and benefits
  • Act as liaison and member advocate between members/families, physicians, facilities, and agencies
  • Perform home and other site visits as required
  • Partner with leadership to improve quality and cost-effective service delivery
  • May precept, coach, and support clinical new hires through onboarding and competency checkpoints
  • Perform other duties as assigned and comply 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
  • Bachelor's degree in Nursing preferred
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required, or NP - Nurse Practitioner - Current State's Nurse Licensure required
  • Utilization Group (RUG) certification must be obtained within 90 days of hire
  • Experience assessing and coordinating medical and supporting services for complex/high acuity populations
  • Knowledge of long-term care plans/service plans, providers, specialists, community resources, service authorizations, and healthcare benefits
  • Ability to perform in-home assessments in the Abilene TX service delivery area
  • Ability to comply with state, federal, and clinical guidelines

Benefits

Comp & perks
  • 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
  • Additional forms of incentives may be included in total compensation
  • Equal opportunity employer committed to diversity